Organization Active NPI

Brainmd Ventures LLC

  • Neuroscience Clinical Nurse Specialist
  • Phoenix, AZ
National Provider Identifier
1073390993
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroscience Clinical Nurse SpecialistTaxonomy code 364SN0800X
Legal business name
BRAINMD VENTURES LLC
Practice address
3104 E Camelback Rd Unit 7668
Phoenix, AZ 85016-4502
Phone
(602) 887-4244
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
David Ha
Title
Authorized Manager
Phone
(602) 887-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroscience Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SN0800X Primary

Addresses

Primary practice location

3104 E Camelback Rd Unit 7668
Phoenix, AZ 85016-4502

Mailing address

3104 E Camelback Rd Unit 7668
Phoenix, AZ 85016-4502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1073390993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD UNIT 7668",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD UNIT 7668",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502",
            "telephone_number": "602-887-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINMD VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED MANAGER",
        "authorized_official_telephone_number": "602-887-4244"
    },
    "taxonomies": [
        {
            "code": "364SN0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.