Active NPI
Arizona Essential Wellness PLLC
- Family Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1972449692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ARIZONA ESSENTIAL WELLNESS PLLC
- Practice address
- 9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036 - Phone
- (520) 637-3237
- NPI assigned
- Apr 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jinsook Kwack
- Title
- Owner
- Phone
- (520) 637-3237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036
Mailing address
9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036
Other names 1
- ASCEND CLINIC AZ
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1740721869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1972449692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE A115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE A115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585036",
"telephone_number": "520-637-3237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA ESSENTIAL WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-25",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "KWACK",
"authorized_official_first_name": "JINSOOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-637-3237"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ASCEND CLINIC AZ",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.