WILLOW HOLISTIC WELLNESS (NPI# 1902438120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902438120 |
| Entity Type | Organization |
| Organization Name | WILLOW HOLISTIC WELLNESS |
| Practice Address |
7455 Arroyo Crossing Pkwy Ste 220 Las Vegas NV 89113-4088 |
| Mailing Address |
37627 Sharpe Ave Willoughby OH 44094-6016 |
| Practice Telephone | 8559493551 |
| Practice Fax Number | 5128566228 |
| Mailing Telephone | 4407969430 |
| Mailing Fax Number | 5128566228 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | RICK PARISI (OFFICE MANAGER) |
| Authorized Official Telephone | 8559493551 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOW HOLISTIC WELLNESS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Willow Holistic Wellness Nevada | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694324 | Willow Holistic Wellness | Psychologist | 2000 Auburn Dr Ste 200, Beachwood, OH 44122-4328 | 2019-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WILLOW HOLISTIC WELLNESS LLC | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 |
| Street Address |
7455 ARROYO CROSSING PKWY STE 220 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-4088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952724874 | Acre Health Services, LLC. | Home Health | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2014-01-28 |
| 1134745722 | 1staid Care LLC | Family Medicine | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2020-06-19 |
| 1104477298 | Steven Jackson | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-09-20 |
| 1477108876 | Acacia Hogue | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-08-03 |
| 1992359137 | Shamsuddin Al-islam | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-07-25 |
| 1003478413 | Catherine Lee Trahan | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-07-05 |
| 1174181978 | Demeasa Elizabeth Heard | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-06-05 |
| 1154987865 | Dwight Looney | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-05-17 |
| 1770049371 | Haley B Chambers | Counselor | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2019-02-19 |
| 1336611433 | Anissa Miller | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2018-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404074 | Ibukun Odutola | Nurse Practitioner | 2605 E Flamingo Rd, Las Vegas, NV 89121-5241 | 2020-07-14 |
| 1225652191 | Angela Beth Wilson | Nurse Practitioner | 5440 W Sahara Ave Ste 220, Las Vegas, NV 89146-0355 | 2020-06-05 |
| 1104445394 | Universal Psychiatry LLC | Nurse Practitioner | 270 E Flamingo Rd Unit 122, Las Vegas, NV 89169-0325 | 2020-04-09 |
| 1952931271 | Paramount Healthcare Services Corp | Nurse Practitioner | 10141 Rockridge Peak Ave, Las Vegas, NV 89166-5200 | 2020-01-26 |
| 1730642182 | Aban Medical Services | Nurse Practitioner | 10145 Eagle Haven St, Las Vegas, NV 89141-8781 | 2019-04-11 |
| 1750857728 | Jan Michael Arceo | Nurse Practitioner | 3140 S Rainbow Blvd Ste 401, Las Vegas, NV 89146-6234 | 2018-10-17 |
| 1780110247 | Jon A Failla Aprn Pllc | Nurse Practitioner | 182 Apache Tear Ct, Las Vegas, NV 89123-2996 | 2017-05-03 |
| 1023565074 | Bright Star Nurse Care LLC | Nurse Practitioner | 8337 Fox Brook St, Las Vegas, NV 89139-6755 | 2016-09-07 |
| 1467805119 | Kasey James Dean | Nurse Practitioner | 3321 N Buffalo Dr, Suite 200, Las Vegas, NV 89129-6678 | 2016-07-18 |
| 1558757021 | Martin Binyange | Nurse Practitioner | 320 E Warm Springs Rd Unit 1, Las Vegas, NV 89119-4243 | 2015-04-12 |
| Find all providers in LAS VEGAS | ||||
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| 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.