Organization Active NPI

Bellezza Sensa LLC

  • Women's Health Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1215170485
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APO-197 Issued in AZ
Legal business name
BELLEZZA SENSA LLC
Practice address
6000 Willow Creek Rd # 304
Prescott, AZ 86301-6189
Phone
(928) 237-4422
Fax
(928) 237-4421
NPI assigned
Apr 16, 2009
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Edie J Morgan, WHNP-BC, MSNPI 1093707077
Title
Nurse Practitioner/Owner
Phone
(928) 237-4422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APO-197 AZ Primary

Addresses

Primary practice location

6000 Willow Creek Rd # 304
Prescott, AZ 86301-6189

Mailing address

990 Country Park Dr
Prescott, AZ 86305-4058
Phone (928) 237-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000355 AZ Part B Supplier - Clinic/Group Practice 5294883278 Receives reassigned benefits from 4 practitioners
Practice locations: Mayer, AZ; Prescott Valley, AZ; Prescott, AZ; Dewey, AZ; Bagdad, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1215170485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 COUNTRY PARK DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863054058",
            "telephone_number": "928-237-4422",
            "fax_number": "928-237-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WILLOW CREEK RD # 304",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016189",
            "telephone_number": "928-237-4422",
            "fax_number": "928-237-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEZZA SENSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "EDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "928-237-4422",
        "authorized_official_credential": "WHNP-BC, MS"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "APO-197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.