Active NPI
Your Care Now Mobile Medical LLC
- Adult Health Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1144810912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- YOUR CARE NOW MOBILE MEDICAL LLC
- Practice address
- 1022 S Meadows Dr
Chandler, AZ 85286-6441 - Phone
- (937) 825-2127
- NPI assigned
- Jan 25, 2021
- Last updated
- Jan 25, 2021
- 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
- Carrie A Licklider
- Title
- Owner
- Phone
- (937) 825-2127
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | Primary |
Addresses
Primary practice location
1022 S Meadows Dr
Chandler, AZ 85286-6441
Mailing address
1022 S Meadows Dr
Chandler, AZ 85286-6441
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, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Huber Heights, OH
- NPI 1649812231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1144810912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 S MEADOWS DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 S MEADOWS DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866441",
"telephone_number": "937-825-2127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR CARE NOW MOBILE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "LICKLIDER",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-825-2127"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.