Organization Active NPI

Wild Wellness Integrative Medicine, LLC

  • Naturopath
  • Tucson, AZ
National Provider Identifier
1891279196
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
WILD WELLNESS INTEGRATIVE MEDICINE, LLC
Practice address
437 W Thurber Rd Ste 3
Tucson, AZ 85705-6821
Phone
(520) 494-3775
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Joshua Reilly
Title
Owner/NMD
Phone
(520) 494-3775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

437 W Thurber Rd Ste 3
Tucson, AZ 85705-6821

Mailing address

437 W Thurber Rd Ste 3
Tucson, AZ 85705-6821
Phone (520) 494-3775

National Provider Directory

National Provider Directory

Locations

437 W Thurber Rd
Ste 3
Tucson, AZ 85705
Phone (520) 494-3775

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1891279196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W THURBER RD STE 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056821",
            "telephone_number": "520-494-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W THURBER RD STE 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056821",
            "telephone_number": "520-494-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD WELLNESS INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/NMD",
        "authorized_official_telephone_number": "520-494-3775"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.