HEALTHY WINGS LLC – NPI #1376905786
Clinic/Center

HEALTHY WINGS LLC is an AHC clinic located in TEMPE, AZ. NPPES has assigned the NPI number 1376905786 to HEALTHY WINGS LLC on March 24, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 3 years ago on Sep 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTHY WINGS LLC below.

NPI Profile for
HEALTHY WINGS LLC

NPI Number
1376905786
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTHY WINGS LLC
Primary location
2055 E SOUTHERN AVE STE B
TEMPE, AZ 85282-7507
Phone: (520) 477-1815 Fax: (949) 543-2787
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER MUHAMMAD
FNP, PMHNP, & PRACTICE DIRECTOR
Phone: (520) 477-1815
Updated
Certification Date
Sep 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 AZ L20603825
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.