WONDERFULLY MADE WELLNESS SANCTUARY (NPI# 1114552916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114552916 |
| Entity Type | Organization |
| Organization Name | WONDERFULLY MADE WELLNESS SANCTUARY |
| Practice Address |
105 S. Tennessee Street Suite 102 Mckinney TX 75069 |
| Practice Telephone | 4696310023 |
| Practice Fax Number | 4696310209 |
| Mailing Telephone | 4696310023 |
| Mailing Fax Number | 4696310209 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | MRS. MICHELLE KATHERINE ROWTON (OWNER, CEO) |
| Authorized Official Telephone | 4696310023 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 S. TENNESSEE STREET SUITE 102 |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026029 | Tiffany Lynn Lowery | Family Medicine | 103 East Lamar St, Mckinney, TX 75069 | 2020-09-06 |
| 1689285603 | Heather Nicole Hester | Social Worker | 4601 Medical Drive Ste F, Mckinney, TX 75069 | 2020-08-13 |
| 1477030385 | Kristyn Lowe | Licensed Vocational Nurse | 110 E Louisiana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1710464631 | Shasta Massey | Registered Nurse | 110 E Louisinana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1215414149 | Allison Marion | Registered Nurse | 110 E Louisiana St, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1497273759 | Kim C. Carson | Counselor | 201 W. Virginia Suite 203, Mckinney, TX 75069 | 2017-09-06 |
| 1629596283 | Christy Lynne Billings | Counselor | 101 W. Louisiana St. Suite # 208, Mckinney, TX 75069 | 2017-09-05 |
| 1932623626 | Lauren Broadbent | Speech-Language Pathologist | 265 Plateau Drive, Mckinney, TX 75069 | 2017-08-03 |
| 1932623147 | Lindsey Ann Gillespie | Nurse Practitioner | 4561 Medical Center Drive, Mckinney, TX 75069 | 2017-07-29 |
| 1013453182 | Erin Woods | Occupational Therapist | 390 Ashwood Ln, Fairview, TX 75069 | 2017-01-13 |
| Find all providers in zip 75069 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182661 | Kateryna Iskiv | Nurse Practitioner | 8008 Heritage Palms Trl, Mckinney, TX 75070-8551 | 2020-07-27 |
| 1376168831 | Wendy Bockelman | Nurse Practitioner | 4816 Kelly Dr, Mckinney, TX 75070-8655 | 2020-06-10 |
| 1134742265 | Alexis White | Nurse Practitioner | 1212 Community Ave, Mckinney, TX 75071-2414 | 2020-05-23 |
| 1447871504 | Jennifer Ramsey Ashun | Nurse Practitioner | 7812 Weatherford Trce, Mckinney, TX 75071-3492 | 2020-04-29 |
| 1518592658 | Alma Liliana Pederson | Nurse Practitioner | 2760 Virginia Pkwy Ste 100, Mckinney, TX 75071-4964 | 2020-03-09 |
| 1720611916 | Paola Scarlett Baza Sandoval | Nurse Practitioner | 4321 Blue Quail Dr, Mckinney, TX 75072-7196 | 2020-02-17 |
| 1780155242 | Lashaaisha Moss | Nurse Practitioner | 9116 Regal Oaks Dr, Mckinney, TX 75072-4953 | 2018-12-10 |
| 1275012403 | Reshmi Abraham | Nurse Practitioner | 4201 Medical Center Dr Ste 240, Mckinney, TX 75069-1766 | 2018-08-08 |
| 1225526494 | Priya Gathings | Nurse Practitioner | 1200 Hodge St, Mckinney, TX 75071-1244 | 2018-04-24 |
| 1932600590 | Shonda Benton | Nurse Practitioner | 6312 Calloway Dr, Mckinney, TX 75070-9424 | 2018-02-27 |
| Find all providers in MCKINNEY | ||||
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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.