WHOLENESS HEALTH, LLC (NPI# 1265055461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265055461 |
| Entity Type | Organization |
| Organization Name | WHOLENESS HEALTH, 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 | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | SCOTT SHANNON (PARTNER) |
| Authorized Official Telephone | 9702249458 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WHOLENESS HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Wholeness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867449 | Wholeness Health, LLC | Psychiatry & Neurology | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2020-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Wholeness Health, LLC | 2620 E Prospect Road, Suite 190, Fort Collins, CO 80525 |
| 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 |
| 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 |
| 1073896700 | Wholeness Medical Services LLC | Family Medicine | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2011-09-20 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140004 | Laurie Matson | Nurse Practitioner | 2945 Spring Harvest Ln, Fort Collins, CO 80528-3074 | 2020-10-06 |
| 1598378846 | Lauren Abigail Dieterman | Nurse Practitioner | 6208 Fall Harvest Way, Fort Collins, CO 80528-7242 | 2020-08-26 |
| 1699385773 | Carl Everett White | Nurse Practitioner | 1101 Oakridge Dr Unit B, Fort Collins, CO 80525-5536 | 2020-08-04 |
| 1790303873 | Angela Axmann Grabinger | Nurse Practitioner | 617 W Myrtle St, Fort Collins, CO 80521-3633 | 2020-07-06 |
| 1750917431 | Regina Thompson Loveley | Nurse Practitioner | 1951 Mackinac St, Fort Collins, CO 80524-3680 | 2020-03-13 |
| 1730714056 | Alba Cristina Riley | Nurse Practitioner | 627 Parker St, Fort Collins, CO 80525-1025 | 2020-03-06 |
| 1619500667 | Melissa Lynn Klos | Nurse Practitioner | 927 Saddlebrook Ln, Fort Collins, CO 80525-6966 | 2020-02-18 |
| 1851921050 | Robbie Jill Fendley | Nurse Practitioner | 2121 E Harmony Rd Unit 310, Fort Collins, CO 80528-3403 | 2020-01-16 |
| 1033757703 | Kelli J Rickett | Nurse Practitioner | 543 S Taft Hill Rd, Fort Collins, CO 80521-3238 | 2019-12-12 |
| 1689158057 | Rachel Ann Mclean | Nurse Practitioner | 6709 Autumn Ridge Dr Unit 1, Fort Collins, CO 80525-6996 | 2018-09-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on WHOLENESS HEALTH, 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.