NPIMap

Organization Active NPI

Creative Aesthetics LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waddell, AZ
National Provider Identifier
1013668581
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CREATIVE AESTHETICS LLC
Practice address
19239 W Echo LN
Waddell, AZ 85355-9903
Phone
(602) 781-4176
NPI assigned
Jan 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Westerman, DNPNPI 1417569138
Title
Provider/Owner
Phone
(602) 781-4176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

19239 W Echo LN
Waddell, AZ 85355-9903

Mailing address

19239 W Echo LN
Waddell, AZ 85355-9903
Phone (602) 781-4176

Other identifiers 2

IdentifierTypeStateIssuer
122470MedicaidAZ
123956MedicaidAZ

Other names 1

  • NEXT STEP RECOVERY AZ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251112001378 AZ Part B Supplier - Clinic/Group Practice 8426549072 Receives reassigned benefits from 1 practitioner
Practice locations: Waddell, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1013668581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19239 W ECHO LN",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559903",
            "telephone_number": "602-781-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19239 W ECHO LN",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559903",
            "telephone_number": "602-781-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WESTERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "602-781-4176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122470",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123956",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEXT STEP RECOVERY AZ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEXT STEP RECOVERY AZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waddell, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.