WHOLELIFE FAMILY WELLNESS CLINIC OF PROVIDENCE PLLC
NPI 1962049932
Nurse Practitioner - Family in Providence, UT
About Wholelife Family Wellness Clinic Of Providence Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHOLELIFE FAMILY WELLNESS CLINIC OF PROVIDENCE PLLC (NPI 1962049932) is a healthcare organization registered as a family in Providence, Utah and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Natalie Jean Gibson, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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 46D2177918
Wholelife Family Wellness Clinic Of Providence · Providence, UTFrequently 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 Wholelife Family Wellness Clinic Of Providence PLLC's NPI number?
The NPI number for Wholelife Family Wellness Clinic Of Providence PLLC is 1962049932. It was assigned to this organization in the NPPES registry on December 9, 2019.
Where is Wholelife Family Wellness Clinic Of Providence PLLC located?
Wholelife Family Wellness Clinic Of Providence PLLC is located at 169 N Gateway Dr. Suite 170, Providence, UT 84332. The listed phone number is (435) 213-3597.
What is Wholelife Family Wellness Clinic Of Providence PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Wholelife Family Wellness Clinic Of Providence PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2177918) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wholelife Family Wellness Clinic Of Providence PLLC accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Wholelife Family Wellness Clinic Of Providence PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wholelife Family Wellness Clinic Of Providence PLLC was last updated on March 13, 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.
# Wholelife Family Wellness Clinic Of Providence Pllc · NPI 1962049932
Family organization in Providence, Utah. Organization record, active in the CMS NPPES registry since December 9, 2019.
## Identity
- **NPI:** 1962049932 (Entity type: Organization)
- **Enumerated:** December 9, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Natalie Gibson, CO-OWNER
## Practice location
- **Address:** 169 N GATEWAY DR. SUITE 170, Providence, UT 84332
- **Phone:** (435) 213-3597
## Record status
- **NPPES last updated:** March 13, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1962049932) · Data from the CMS NPPES public registry.