Active NPI
Prohealth Integrative Medicine, PLLC
- Primary Care Clinic/Center
- Gilbert, AZ
National Provider Identifier
1124896485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PROHEALTH INTEGRATIVE MEDICINE, PLLC
- Practice address
- 2285 E Appleby Rd
Gilbert, AZ 85298-9307 - Phone
- (480) 888-6556
- NPI assigned
- Dec 18, 2023
- 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
- James Reynolds, FNP-C
- Title
- Director
- Phone
- (480) 888-6556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2285 E Appleby Rd
Gilbert, AZ 85298-9307
Mailing address
2285 E Appleby Rd
Gilbert, AZ 85298-9307
Phone (480) 888-6556
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Gilbert, AZ
- NPI 1235905662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1124896485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 E APPLEBY RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852989307",
"telephone_number": "480-888-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 E APPLEBY RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852989307",
"telephone_number": "480-888-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH INTEGRATIVE MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-888-6556",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.