Organization Active NPI

Creative Blessings LLC

  • Phlebology Physician
  • Casa Grande, AZ
National Provider Identifier
1184293326
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.