Active NPI
Uplift the Human Spirit
- Supports Brokerage Agency
- Stockton, CA
National Provider Identifier
1033933023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.