Active NPI
RCHP-Sierra Vista Inc
- Registered Dietitian
- Sierra Vista, AZ
National Provider Identifier
1104236090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- RCHP-SIERRA VISTA INC
- Practice address
- 5700 E Highway 90
Sierra Vista, AZ 85635-9110 - Phone
- (520) 417-3001
- NPI assigned
- May 1, 2014
- 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
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Mailing address
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone (520) 417-3001
Other names 1
- Canyon Vista Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1104236090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 E HIGHWAY 90",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856359110",
"telephone_number": "520-417-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 E HIGHWAY 90",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856359110",
"telephone_number": "520-417-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RCHP-SIERRA VISTA INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-01",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canyon Vista Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Canyon Vista Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.