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FULL SPECTRUM WELLNESS INC
NPI 1447094230
General Practice in Tucson, AZ

Active since June 25, 2024CLIA 03D2337418 · Waiver
1840 N CRAYCROFT RD, TUCSON, AZ 85712(520) 372-8427(520) 264-0126 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Spectrum Wellness Inc NPPES

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

FULL SPECTRUM WELLNESS INC (NPI 1447094230) is a healthcare organization registered as a general practice in Tucson, Arizona and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Kristin Makinajyan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1447094230
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFULL SPECTRUM WELLNESS INC
Location Address1840 N CRAYCROFT RDTucson, AZ 85712-3702
Mailing Address1840 N Craycroft RdTucson, AZ 85712-3702 · (520) 372-8427 · Fax (520) 264-0126
Phone(520) 372-8427
Fax(520) 264-0126
Organization SubpartNo
Authorized OfficialKristin MakinajyanNurse Practitioner · (626) 215-5900
Enumeration DateJune 25, 2024
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1447094230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1840 N CRAYCROFT RD, Tucson, AZ 85712
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 03D2337418

Full Spectrum Wellness Dba Total Health Tucson · Tucson, AZ
Active · expires Jan 21, 2028
CLIA Number03D2337418
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorKristin Makinajyan
Laboratory Phone(520) 372-8427
Laboratory LocationFull Spectrum Wellness Dba Total Health Tucson1840 N Craycroft Rd, Tucson, AZ 85712
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 2

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

JOHN MURAD DMD
Dentist (General Practice)
1840 N CRAYCROFT RD
TUCSON, AZ 85712
Pima County (520) 886-2822
CRAYCROFT PRIME DENTAL, P.C.
Dentist
1840 N CRAYCROFT RD
TUCSON, AZ 85712
Pima County (520) 886-2822

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 Full Spectrum Wellness Inc's NPI number?

The NPI number for Full Spectrum Wellness Inc is 1447094230. It was assigned to this organization in the NPPES registry on June 25, 2024.

Where is Full Spectrum Wellness Inc located?

Full Spectrum Wellness Inc is located at 1840 N Craycroft Rd, Tucson, AZ 85712. The listed phone number is (520) 372-8427.

What is Full Spectrum Wellness Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Full Spectrum Wellness Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2337418) is associated with this NPI, valid through January 21, 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 Full Spectrum Wellness Inc was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.