WHOLENESS MEDICAL SERVICES LLC (NPI# 1073896700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073896700 |
| Entity Type | Organization |
| Organization Name | WHOLENESS MEDICAL SERVICES LLC |
| Practice Address |
2620 E Prospect Rd Ste 190 Fort Collins CO 80525-9098 |
| Practice Telephone | 9702211106 |
| Practice Fax Number | 9702321050 |
| Mailing Telephone | 9702211106 |
| Mailing Fax Number | 9702321050 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | DR. SCOTT SHANNON (OWNER/MEMBER) |
| Authorized Official Telephone | 9702211106 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 31090 | CO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 31090 | CO | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
31090 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2620 E PROSPECT RD STE 190 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619288446 | Lorna Gail Dawson | Nurse Practitioner | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2010-06-26 |
| 1265055461 | Wholeness Health, LLC | Clinic/Center | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2020-05-21 |
| 1720609779 | Brianna Hope Bendixsen | Counselor | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2020-04-30 |
| 1245867449 | Wholeness Health, LLC | Psychiatry & Neurology | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2020-03-26 |
| 1477910024 | Nicole Lewis | Naturopath | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2016-01-26 |
| 1952720856 | Dawn Marie Fabian | Social Worker | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2014-04-08 |
| 1881936177 | Dustin Dippen | Psychiatry & Neurology | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2013-03-25 |
| 1811279573 | Wholeness Center, P.C. | Counselor | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| 1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
| 1730231770 | Amy L Becker | Physician Assistant | 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528-8620 | 2007-01-18 |
| 1417043837 | Adam Richard Musgrave | Physician Assistant | 2627 Redwing Rd Ste 220, Fort Collins, CO 80526-6331 | 2006-10-04 |
| 1356811160 | Kristin J. Leinhart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-05 |
| 1124570601 | Alexandra M Skogen | Physician Assistant | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2016-10-31 |
| 1184174807 | David Messinger | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2016-10-05 |
| 1477955870 | Suzette Denise Vandivier | Physician Assistant | 1124 E Elizabeth St, Fort Collins, CO 80524-4052 | 2014-09-17 |
| 1396096525 | Elizabeth A Metz | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-09-27 |
| 1912295296 | Amanda Benedict | Physician Assistant | 1200 E Elizabeth St, Fort Collins, CO 80524-4007 | 2011-07-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on WHOLENESS MEDICAL SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.