Wholesome Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0426 Issued in ID

Legal business name

WHOLESOME HEALTH

Practice address

3040 E 17TH St
Ammon, ID 83406-6760

Phone

(208) 557-0200

Fax

(208) 542-5080

NPI assigned

Jan 17, 2015

Organization subpart

No

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

Authorized official

Name

Laramie Linning Wheeler, DO

Title

Owner

Phone

(208) 589-3846

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Sara Brabec, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1710343686
  NPD (past)

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1942699715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066760",
            "telephone_number": "208-557-0200",
            "fax_number": "208-542-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066760",
            "telephone_number": "208-557-0200",
            "fax_number": "208-542-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "LARAMIE",
        "authorized_official_middle_name": "LINNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-589-3846",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0426",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP676A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Westhoff
• Elizabeth Whitehead, LCPC
• Shelby Whiting, LPC
• Amanda Kay Whitmill, PHARM.D.
• Richard Franklin Whittaker I
• Megann Wilkerson, LCSW
• Kylee Rae Wilkie
• William Eder MD (PSC Radiate)
• Levi Peterson Williams, DPT, PT
• Mariah Williams

• Family Medicine Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.