TULAYA WELLNESS CORP (NPI# 1659735504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659735504 |
| Entity Type | Organization |
| Organization Name | TULAYA WELLNESS CORP |
| Practice Address |
6789 N Green Bay Ave Glendale WI 53209-3472 |
| Mailing Address |
345 W Ravine Baye Rd Bayside WI 53217-1336 |
| Practice Telephone | 2627513730 |
| Mailing Telephone | 2627513730 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | GINA NEGRETTE (OWNER) |
| Authorized Official Telephone | 2627513730 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
5214820 | WI | Ambulatory Health Care Facilities |
| Street Address |
6789 N GREEN BAY AVE |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386679900 | Orlanu Therapies -the Myofascial Release Center of Milwaukee, S.c. | Physical Therapist | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2006-07-12 |
| 1487293858 | Forward Family Therapy, LLC | Counselor | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2020-01-02 |
| 1497009765 | Susan Katherine Anne De Shazer | Specialist | 6789 N Green Bay Ave, 4u, Glendale, WI 53209-3472 | 2012-11-07 |
| 1790032316 | Mackenzie Harris | Counselor | 6789 N Green Bay Ave, Glendale, WI 53209 | 2012-08-14 |
| 1437386869 | Alana Pollack Hammer | Acupuncturist | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1134412323 | Riverside Fletcher Medical Group | Clinic/Center | 1915 W Glenoaks Blvd # 101, Glendale, CA 91201-1541 | 2011-05-20 |
| 1396903571 | The Massage Fix Inc | Clinic/Center | 3600 Ocean View Blvd, Suite 1, Glendale, CA 91208-1272 | 2008-05-24 |
| 1023208212 | Arrowhead Health Center & Spa, Pllc | Clinic/Center | 17100 W 67th Ave, 300, Glendale, AZ 85308-3605 | 2007-07-25 |
| 1376582775 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2006-06-05 |
| 1831685320 | Healing Service Agency LLC | Clinic/Center | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2018-07-08 |
| 1912379090 | Quick Med Center LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301 | 2015-10-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
| 1356571228 | Brand Medical Center | Clinic/Center | 620 N Brand Blvd, Suite 403, Glendale, CA 91203-4208 | 2009-07-24 |
| Find all providers in GLENDALE | ||||
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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.