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WELLNESS INTEGRATIVE, PLC
NPI 1619330388
Family Medicine in Yuma, AZ

Active since March 31, 2016
1207 W 16TH ST STE B, YUMA, AZ 85364(928) 318-6310(928) 328-1056 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Mar 31, 2016 (2 updates tracked since 2016).

About Wellness Integrative, Plc NPPES

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

WELLNESS INTEGRATIVE, PLC (NPI 1619330388) is a healthcare organization registered as a family medicine in Yuma, Arizona and active in the NPI registry since March 2016. The organization lists Jennivyr Derakhshan, Owner, as its authorized official.

NPPES Registry Identity

NPI1619330388
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS INTEGRATIVE, PLC
Location Address1207 W 16TH ST STE BYuma, AZ 85364-4597
Mailing Address1207 W 16th St Ste BYuma, AZ 85364-4597 · (928) 318-6310 · Fax (928) 328-1056
Phone(928) 318-6310
Fax(928) 328-1056
Organization SubpartNo
Authorized OfficialJennivyr DerakhshanOwner · (928) 318-6910
Enumeration DateMarch 31, 2016
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1619330388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1207 W 16TH ST STE B, Yuma, AZ 85364
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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

Other Providers at the Same Location NPPES

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

TAMMY L SLADE-FLOREZ NP
Nurse Practitioner (Family)
1207 W 16TH ST STE B
YUMA, AZ 85364
Yuma County (928) 318-6910

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 Wellness Integrative, Plc's NPI number?

The NPI number for Wellness Integrative, Plc is 1619330388. It was assigned to this organization in the NPPES registry on March 31, 2016.

Where is Wellness Integrative, Plc located?

Wellness Integrative, Plc is located at 1207 W 16th St Ste B, Yuma, AZ 85364. The listed phone number is (928) 318-6310.

What is Wellness Integrative, Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wellness Integrative, Plc was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.