NPIMap

Organization Active NPI

Rayiom Health and Wellness, Inc

Doing business as Rayiom Health and Wellness, Inc HIV/AIDS Outpatient Clinic

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1124662408
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
RAYIOM HEALTH AND WELLNESS, INC
Doing business as
Rayiom Health and Wellness, Inc HIV/AIDS Outpatient Clinic
Practice address
11225 N 28TH Dr Ste A102-22
Phoenix, AZ 85029-5606
Phone
(520) 840-7325
NPI assigned
Oct 30, 2019
Last updated
Oct 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
RAYIOM HEALTH AND WELLNESS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Mr. Ramon D Stembridge, BA, M.ED, RBT
Title
Chief Operations Officer
Phone
(520) 840-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

11225 N 28TH Dr Ste A102-22
Phoenix, AZ 85029-5606

Mailing address

11225 N 28TH Dr Ste A102-22
Phoenix, AZ 85029-5606
Phone (520) 840-7325

Other names 1

  • Rayiom Health and Wellness, Inc HIV/AIDS Outpatient Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Maricopa Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Rayiom Health and Wellness Inc2 organizations share this tax ID, including this one
Part of
Rayiom Health and Wellness Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11225 N 28th Dr
Ste A10222
Phoenix, AZ 85029
Phone (520) 840-7325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21099/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1124662408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE A102-22",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295606",
            "telephone_number": "520-840-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE A102-22",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295606",
            "telephone_number": "520-840-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYIOM HEALTH AND WELLNESS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAYIOM HEALTH AND WELLNESS, INC",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "STEMBRIDGE",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "520-840-7325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, M.ED, RBT"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Maricopa",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11225 N 28th Dr Ste A102-22",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850295606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rayiom Health and Wellness, Inc HIV/AIDS Outpatient Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2019; 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.