Active NPI
Creative Blessings LLC
- Phlebology Physician
- Casa Grande, AZ
National Provider Identifier
1184293326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- CREATIVE BLESSINGS LLC
- Practice address
- 122 E Cottonwood LN Ste F
Casa Grande, AZ 85122-2548 - Phone
- (206) 853-4622
- NPI assigned
- Jun 22, 2021
- Last updated
- Jun 22, 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
- Turelane Jackson
- Title
- Ceo
- Phone
- (206) 853-4622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | NU | Primary |
Addresses
Primary practice location
122 E Cottonwood LN Ste F
Casa Grande, AZ 85122-2548
Mailing address
40905 W Brandt Dr
Maricopa, AZ 85138-7354
Phone (206) 853-4622
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1184293326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40905 W BRANDT DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851387354",
"telephone_number": "206-853-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E COTTONWOOD LN STE F",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851222548",
"telephone_number": "206-853-4622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE BLESSINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TURELANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "206-853-4622"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.