The Wellness and Prevention Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3720 Issued in AZ

Legal business name

THE WELLNESS AND PREVENTION CENTER, LLC

Practice address

5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147

Phone

(623) 387-3705

Fax

(866) 941-5662

NPI assigned

Aug 24, 2011

Last updated

Jan 17, 2020By 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

Katrina M Spradling, FNP-CNPI 1902192784

Title

Owner

Phone

(623) 387-3705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katrina M Spradling, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1902192784
  Medicare reassignment NPD Authorized official
• Jodi Lyn Lay, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1114450962
  Medicare reassignment NPD
• Kevin Sy

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1083401301
  Medicare reassignment NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1881974731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853800417",
            "telephone_number": "623-387-3705",
            "fax_number": "866-941-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023147",
            "telephone_number": "623-387-3705",
            "fax_number": "866-941-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19841 N 27th Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Phx",
            "state": "AZ",
            "postal_code": "85027",
            "country_code": "US",
            "telephone_number": "623-387-3705",
            "fax_number": "866-941-5662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 W Agua Fria Fwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85027",
            "country_code": "US",
            "telephone_number": "623-387-3705",
            "fax_number": "866-941-5662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WELLNESS AND PREVENTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "SPRADLING",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-387-3705",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "638403",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Heart Specialists Group, LLC
• The Little Clinic of Arizona LLC
• The Orthopedic Clinic Association, Inc
• The Pass Program LLC (Elitelevelpt)
• The VHS Arizona Imaging Centers Limited Partnership (Abrazo Advanced Imaging Arrowhead)
• Thea Et Astrum Nutrition Counseling, LLC
• Thepediatricpt PLLC
• Therapy Builders
• Therapy With Purpose, LLC (Therapy with Purpose)
• Therapy With Purpose, LLC (Therapy with Purpose)

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.

Verify at the official NPI Registry.