WHOLE BODY WELLNESS (NPI# 1043680028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043680028 |
| Entity Type | Organization |
| Organization Name | WHOLE BODY WELLNESS |
| Practice Address |
460 Saint Michaels Dr Suite 601 Santa Fe NM 87505-7619 |
| Mailing Address |
2 Avenida De Compadres Santa Fe NM 87508-8713 |
| Practice Telephone | 5056609110 |
| Mailing Telephone | 5056609110 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | JENNIFER FOWLER (MEDICAL MASSAGE THERAPIST) |
| Authorized Official Telephone | 5056609110 |
| Authorized Official Credential | LMT,CMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5906 | NM | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Whole Body Wellness | 6136 Habitat Drive, Boulder, CO 80301 |
| Oregon Corporations, Companies and Business Names | WHOLE BODY WELLNESS | 412 Hoover St, Fossil, OR 97830 |
| New York State Corporations | WHOLE BODY WELLNESS ACUPUNCTURE P.C. | 872 Middle Country Road, St. James, Ny 11780 |
| Washington State Corporations | WHOLE BODY WELLNESS CLINIC, LLC | 7500 212th St Sw Ste 110-112, Edmonds, WA 98026 |
| New York State Corporations | WHOLE BODY WELLNESS MASSAGE THERAPY PLLC | 872 Middle Country Rd., St. James, Ny 11780 |
| Washington State Corporations | WHOLE BODY WELLNESS, LLC | 7500 212th St Sw Suite 110-112, Edmonds, WA 98026 |
| Indiana Business Entities | WHOLE BODY WELLNESS, LLC | 6062 Lute Road, Portage, IN 46368 |
| Street Address |
460 SAINT MICHAELS DR SUITE 601 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808005 | Alston C Lundgren | Family Medicine | 460 Saint Michaels Dr, Ste. 801, Santa Fe, NM 87505-7619 | 2006-07-07 |
| 1801243290 | Shirley Lam | Hearing Instrument Specialist | 460 Saint Michaels Dr, Ste 901, Santa Fe, NM 87505-7619 | 2016-05-16 |
| 1023413788 | Tahlia Rainbolt, Phd, LLC | Community/Behavioral Health | 460 Saint Michaels Dr, Suite 505, Santa Fe, NM 87505-7619 | 2014-10-23 |
| 1245641638 | Jack Jones Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 460 Saint Michaels Dr, Ste 901, Santa Fe, NM 87505-7619 | 2014-05-19 |
| 1073856530 | Emanuel, LLC | In Home Supportive Care | 460 Saint Michaels Dr, Suite 1104, Santa Fe, NM 87505-7619 | 2013-04-03 |
| 1093055816 | Deborah Schweiger-whalen and Associates, LLC | Clinic/Center | 460 Saint Michaels Dr, Suite 1101, Santa Fe, NM 87505-7619 | 2013-02-15 |
| 1922315068 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 460 Saint Michaels Dr, Suite 1204, Santa Fe, NM 87505-7619 | 2010-09-10 |
| 1194969220 | Dennis M Jackson Md Inc | Family Medicine | 460 Saint Michaels Dr, #1005, Santa Fe, NM 87505-7619 | 2009-04-20 |
| 1194966747 | Caroline Kingston Md Mph Family Practice LLC | Clinic/Center | 460 Saint Michaels Dr, 1204, Santa Fe, NM 87505-7619 | 2009-03-11 |
| 1215173000 | New Mexico Pain Management, LLC | General Practice | 460 Saint Michaels Dr, Building 200, Santa Fe, NM 87505-7619 | 2008-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952706301 | Robert Marcus | Specialist | 1603 City Lights St, Santa Fe, NM 87507-7613 | 2014-10-28 |
| 1841694049 | Steven Borges | Specialist | 2085 Avenida San Diego, Santa Fe, NM 87507 | 2014-10-16 |
| 1457762411 | Ashley Fried | Specialist | 18b Ellis Ranch Rd, Santa Fe, NM 87505-9537 | 2014-05-13 |
| 1679997027 | Jennifer Antill | Specialist | 32 Paseo Del Valle, Santa Fe, NM 87508-1402 | 2014-02-05 |
| 1023451606 | Moriah J. Williams | Specialist | 1229 S Saint Francis Dr, Santa Fe, NM 87505-4052 | 2013-04-12 |
| 1417214347 | Kimberly Gibbs | Specialist | 1315 S Saint Francis Dr Ste 3, Santa Fe, NM 87505-4035 | 2012-04-17 |
| 1013280791 | Richard Grant Curless | Specialist | 2117 Foothills Rd, Santa Fe, NM 87505-4526 | 2012-02-11 |
| 1356628515 | Paula Summer Gore | Specialist | 2383 Camino Capitan, Apt #1, Santa Fe, NM 87505-6442 | 2011-11-15 |
| 1164706677 | Patricia Smith | Specialist | 490b W Zia Rd Ste 1, Santa Fe, NM 87505-7009 | 2011-10-03 |
| 1114222924 | Monica A Prerovsky | Specialist | 4671 San Ysidro Place, Santa Fe, NM 87507 | 2011-01-26 |
| Find all providers in SANTA FE | ||||
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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.