Badger Canyon Family Health and Wellness, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OP60036526 Issued in WA

Legal business name

BADGER CANYON FAMILY HEALTH AND WELLNESS, PLLC

Practice address

10121 W Clearwater Ave
Ste 102
Kennewick, WA 99336

Phone

(509) 783-4949

Fax

(509) 783-6827

NPI assigned

Jan 7, 2009

Last updated

Feb 4, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Phipps Dramis, DO

Title

Doctor

Phone

(509) 783-4949

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1851538219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 W CLEARWATER AVE",
            "address_2": "STE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-783-4949",
            "fax_number": "509-783-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 W CLEARWATER AVE",
            "address_2": "STE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-783-4949",
            "fax_number": "509-783-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER CANYON FAMILY HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "DRAMIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "PHIPPS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "509-783-4949",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OP60036526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.