Bella Vita Healthcare

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP3450 Issued in AZ

Legal business name

BELLA VITA HEALTHCARE

Practice address

203 S Candy LN
Suite 6Ab
Cottonwood, AZ 86326-4120

Phone

(928) 634-0391

Fax

(928) 634-6145

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Purinton, CNM

Title

Owner

Phone

(928) 300-5360

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bella Vita Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bella Vita Healthcare

  • Obstetrics Physician
  • Cottonwood, AZ
  • NPI 1275889412
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Marie Shilling, C.N.M.

  • Advanced Practice Midwife
  • Cottonwood, AZ
  • NPI 1508190174

  Women's Health

  NPD

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1245691625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN",
            "address_2": "SUITE 6AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-634-0391",
            "fax_number": "928-634-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN",
            "address_2": "SUITE 6AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-634-0391",
            "fax_number": "928-634-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "PURINTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-300-5360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496545",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie C Barrow, MA
• Angela Bassett
• Jehangir B Bastani IV, M.D.
• Matthew Bateman, CO
• Thomas Anthony Bauers
• Bella Vita Healthcare
• Christopher Benda, PTA
• Linda Elaine Bennardo, LPC
• Joseph Thomas Bergerson, M.D.
• Kenneth John Bescak, MD

• Women's Health Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.