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WONDER HEALTH & WELLBEING, LLC
NPI 1184264046
Nurse Practitioner - Family in Medford, OR

Active since January 08, 2020CLIA 38D2340436 · Waiver
26 HAWTHORNE ST, MEDFORD, OR 97504(541) 215-4177(303) 484-6316 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Jan 8, 2020 (2 updates tracked since 2020).

About Wonder Health & Wellbeing, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WONDER HEALTH & WELLBEING, LLC (NPI 1184264046) is a healthcare organization registered as a family in Medford, Oregon and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Tara Holley, Owner, as its authorized official.

NPPES Registry Identity

NPI1184264046
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWONDER HEALTH & WELLBEING, LLC
Location Address26 HAWTHORNE STMedford, OR 97504-7114
Mailing Address26 Hawthorne StMedford, OR 97504-7114 · (541) 215-4177 · Fax (303) 484-6316
Phone(541) 215-4177
Fax(303) 484-6316
Organization SubpartNo
Authorized OfficialTara HolleyOwner · (303) 907-9574
Enumeration DateJanuary 8, 2020
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1184264046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
26 HAWTHORNE ST, Medford, OR 97504
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2340436

Wonder Health + Wellbeing · Medford, OR
Active · expires Mar 16, 2028
CLIA Number38D2340436
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorTara A. Holley
Laboratory Phone(541) 215-4177
Laboratory LocationWonder Health + Wellbeing26 Hawthorne St, Medford, OR 97504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA ASHLEY HOLLEY FNP
Nurse Practitioner (Family)
26 HAWTHORNE ST
MEDFORD, OR 97504
Jackson County (541) 215-4177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wonder Health & Wellbeing, LLC's NPI number?

The NPI number for Wonder Health & Wellbeing, LLC is 1184264046. It was assigned to this organization in the NPPES registry on January 8, 2020.

Where is Wonder Health & Wellbeing, LLC located?

Wonder Health & Wellbeing, LLC is located at 26 Hawthorne St, Medford, OR 97504. The listed phone number is (541) 215-4177.

What is Wonder Health & Wellbeing, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Wonder Health & Wellbeing, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2340436) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wonder Health & Wellbeing, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.