Active NPI
Virtis Health, LLC
- Family Nurse Practitioner
- Tempe, AZ
National Provider Identifier
1174096465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VIRTIS HEALTH, LLC
- Practice address
- 415 S 48TH St # 107
Tempe, AZ 85281-2357 - Phone
- (480) 448-3999
- Fax
- (480) 795-7711
- NPI assigned
- Jan 9, 2019
- 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
- Ronald P Lindahl
- Title
- Coo
- Phone
- (833) 765-3648
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
415 S 48TH St # 107
Tempe, AZ 85281-2357
Mailing address
2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (833) 765-3648
National Provider Directory
National Provider Directory- Tax ID family
- Virtis Health LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Las Vegas, NV
- NPI 1326756453
-
- Medical Specialty Clinic/Center
- Norcross, GA
- NPI 1710853536
-
- Medical Specialty Clinic/Center
- Woodstock, GA
- NPI 1770437089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1174096465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 NETWORK BLVD STE 505",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341895",
"telephone_number": "833-765-3648",
"fax_number": "603-718-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S 48TH ST # 107",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852812357",
"telephone_number": "480-448-3999",
"fax_number": "480-795-7711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRTIS HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "LINDAHL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "833-765-3648"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.