Organization Active NPI

New Spirit Health LLC

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1184181778
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW SPIRIT HEALTH LLC
Practice address
2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412
Phone
(480) 568-2802
Fax
(866) 226-5767
NPI assigned
Mar 1, 2019
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
John Risi, NPNPI 1932623469
Title
Owner/Ceo
Phone
(602) 615-6900

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412

Mailing address

2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412
Phone (480) 568-2802

Other identifiers 1

IdentifierTypeStateIssuer
293171MedicaidAZ

National Provider Directory

National Provider Directory

Locations

800 Belford Ave
Ste 200C
Grand Junction, CO 81501
Phone (480) 568-2802

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1184181778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "480-568-2802",
            "fax_number": "866-226-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "480-568-2802",
            "fax_number": "866-226-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPIRIT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "RISI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "602-615-6900",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293171",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.