THE WELLNESS AND PREVENTION CENTER, LLC
NPI 1881974731
Nurse Practitioner - Family in Glendale, AZ

Q: What is The Wellness And Prevention Center, LLC's specialty?

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

Active since August 24, 2011CLIA 03D2058136 · Waiver

5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302(623) 387-3705(866) 941-5662 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2020, Mar 10, 2019 (2 updates tracked since 2019).

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About The Wellness And Prevention Center, Llc NPPES

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

THE WELLNESS AND PREVENTION CENTER, LLC (NPI 1881974731) is a healthcare organization registered as a family in Glendale, Arizona and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through April 29, 2027, maintains 2 additional practice locations, and lists Katrina M Spradling, Owner, as its authorized official.

NPPES Registry Identity

NPI1881974731

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameTHE WELLNESS AND PREVENTION CENTER, LLC

Location Address5700 W OLIVE AVE STE 102Glendale, AZ 85302-3147

Mailing AddressPo Box 417Peoria, AZ 85380-0417 · (623) 387-3705 · Fax (866) 941-5662

Phone(623) 387-3705

Fax(866) 941-5662

Organization SubpartNo

Authorized OfficialKatrina M SpradlingOwner · (623) 387-3705

Enumeration DateAugust 24, 2011

Last NPPES UpdateJanuary 17, 20202 updates tracked since enumeration

✔ NPI 1881974731 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

License✔ Licensed in AZ · AP3720

5700 W OLIVE AVE STE 102, Glendale, AZ 85302

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Secondary Practice Locations 2

Location 119841 N 27th Ave, Suite 204Phx, AZ 85027 · Phone (623) 387-3705 · Fax (866) 941-5662

Location 22730 W Agua Fria Fwy Ste 104Phoenix, AZ 85027 · Phone (623) 387-3705 · Fax (866) 941-5662

Other Identifiers 1

Medicaid638403AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2058136

The Wellness And Prevention Center, LLC · Glendale, AZ

Active · expires Apr 29, 2027

CLIA Number03D2058136

Laboratory TypePhysician Office

Certificate Effective DateApril 30, 2025

Certificate Expiration DateApril 29, 2027

Laboratory DirectorKatrina M. Spradling

Laboratory Phone(623) 387-3705

Laboratory LocationThe Wellness And Prevention Center, LLC5700 W Olive Ave Suite 102, Glendale, AZ 85302

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 9

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

ALODIA BANUELOS DOMINGO NP

Nurse Practitioner (Family)