Organization Active NPI

Uplift the Human Spirit

  • Supports Brokerage Agency
  • Stockton, CA
National Provider Identifier
1033933023
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
UPLIFT THE HUMAN SPIRIT
Practice address
1743 Grand Canal Blvd Ste 17
Stockton, CA 95207-8108
Phone
(209) 451-0342
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Ms. Susan Her
Title
Founder/Executive Director
Phone
(209) 684-3182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

1743 Grand Canal Blvd Ste 17
Stockton, CA 95207-8108

Mailing address

PO Box 692741
Stockton, CA 95269-2741
Phone (209) 684-3182

National Provider Directory

National Provider Directory

Locations

1743 Grand Canal Blvd
Ste 17
Stockton, CA 95207
Phone (209) 451-0342

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1033933023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692741",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952692741",
            "telephone_number": "209-684-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 GRAND CANAL BLVD STE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078108",
            "telephone_number": "209-451-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT THE HUMAN SPIRIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-684-3182",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.