Willow Holistic Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WILLOW HOLISTIC WELLNESS

Practice address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Phone

(855) 949-3551

Fax

(512) 856-6228

NPI assigned

Feb 5, 2020

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

WILLOW HOLISTIC WELLNESS LLCAs reported in NPPES

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

Authorized official

Name

Rick Parisi

Title

Office Manager

Phone

(855) 949-3551

Specialties & licenses 1

Addresses

Other names 1

• Willow Holistic Wellness Nevada Other name

Tax ID family

Willow Holistic Wellness2 organizations share this tax ID, including this one

Part of

Willow Holistic Wellness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Willow Holistic Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Beachwood, OH
  • NPI 1235694324
  NPD tax ID

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1902438120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ERIE ST PO BOX 665",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "855-949-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "855-949-3551",
            "fax_number": "512-856-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HOLISTIC WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW HOLISTIC WELLNESS LLC",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "855-949-3551"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Holistic Wellness Nevada",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Willow Holistic Wellness Nevada",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janeen Willoughby
• Janet Carol Willoughby, MS OTRL
• Moses Willoughby
• Walter J Willoughby Jr., MD
• Willow Haven Health and Rehab LLC
• Willow Point, LLC
• Angela Wills
• Heath R Wills, M.D.
• Jonathan Wills
• Lawrence Wills

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.