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WHOLE FAMILY WELLNESS LLC
NPI 1710789003
Nurse Practitioner in Taylorville, IL

Active since March 26, 2025CLIA 14D2322051 · Waiver
1001 N CHENEY ST STE B, TAYLORVILLE, IL 62568(217) 777-8000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Whole Family Wellness Llc NPPES

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

WHOLE FAMILY WELLNESS LLC (NPI 1710789003) is a healthcare organization registered as a nurse practitioner in Taylorville, Illinois and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Jo Ellis, Accountant, as its authorized official.

NPPES Registry Identity

NPI1710789003
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWHOLE FAMILY WELLNESS LLC
Location Address1001 N CHENEY ST STE BTaylorville, IL 62568-2705
Mailing Address1001 N Cheney St Ste BTaylorville, IL 62568-2705 · (217) 777-8000
Phone(217) 777-8000
Organization SubpartNo
Authorized OfficialJo EllisAccountant · (217) 855-8225
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1710789003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1001 N CHENEY ST STE B, Taylorville, IL 62568
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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 14D2322051

Whole Family Wellness · Taylorville, IL
Active · expires Apr 14, 2027
CLIA Number14D2322051
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorLaci L. Watson
Laboratory Phone(217) 777-8000
Laboratory LocationWhole Family Wellness1001 N Cheney St - Ste B, Taylorville, IL 62568
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.

DR. ANNETTE GREMMELS DC
Chiropractor
1001 N CHENEY ST STE B
TAYLORVILLE, IL 62568
Christian County (217) 824-0404

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 Whole Family Wellness LLC's NPI number?

The NPI number for Whole Family Wellness LLC is 1710789003. It was assigned to this organization in the NPPES registry on March 26, 2025.

Where is Whole Family Wellness LLC located?

Whole Family Wellness LLC is located at 1001 N Cheney St Ste B, Taylorville, IL 62568. The listed phone number is (217) 777-8000.

What is Whole Family Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Whole Family Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2322051) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Whole Family Wellness LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.