Phoenix Vascular Access, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

PHOENIX VASCULAR ACCESS, LLC

Practice address

455 N Mesa Dr Ste 16
Mesa, AZ 85201-5936

Phone

(480) 468-3219

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josie Brandon John Hart

Title

Ceo

Phone

(480) 468-3219

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William John Hart, RN

  • Critical Care Medicine Registered Nurse
  • Mesa, AZ
  • NPI 1467139147
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1093415408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 16",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "480-468-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 16",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "480-468-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX VASCULAR ACCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHN HART",
        "authorized_official_first_name": "JOSIE BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-468-3219"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Physician Group, PLLC
• Phoenix Psychiatric Therapy
• Phoenix Specialty Hospital
• Phoenix Specialty Hospital
• Phoenix Vamc
• Phusion Rehab
• Phylogenesis Financial Holdings LLC (Onestop Urgent and Medical Care)
• Physical Medicine of Mesa LLC
• Physical Rehabilitation and Hand Centers Inc (Mesa-Gilbert Physical Therapy and Hand Center)
• Physical Therapy Rehabilitation Specialists, PLLC

• Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.