Active NPI
Agape Family Wellness
- Clinic/Center
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AGAPE FAMILY WELLNESS
- Practice address
- 640 W Maryland Ave Ste 4
Phoenix, AZ 85013-1398 - Phone
- (602) 795-8122
- Fax
- (833) 973-0963
- NPI assigned
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronda Slickman, DNP
- Title
- FNP
- Phone
- (602) 770-8571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
640 W Maryland Ave Ste 4
Phoenix, AZ 85013-1398
Mailing address
640 W Maryland Ave Ste 4
Phoenix, AZ 85013-1398
Phone (602) 795-8122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2311970 | Agape Family Wellness | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
765 S Cotton Ln
Ste 210
Goodyear, AZ 85338
Phone (602) 770-8571
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Phoenix, AZ
- NPI 1659801835
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1184312696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737158400000",
"number": "1801658117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W MARYLAND AVE STE 4",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131398",
"telephone_number": "602-795-8122",
"fax_number": "833-973-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 W MARYLAND AVE STE 4",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131398",
"telephone_number": "602-795-8122",
"fax_number": "833-973-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE FAMILY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A",
"authorized_official_last_name": "SLICKMAN",
"authorized_official_first_name": "RONDA",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "602-770-8571",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.