Bella Vita Healthcare

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

14606 Issued in AZ

Legal business name

BELLA VITA HEALTHCARE

Practice address

294 W State Route 89a Ste 209
Cottonwood, AZ 86326-3765

Phone

(928) 649-7899

Fax

(928) 649-7898

NPI assigned

Jul 25, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie M Purinton, CNM

Title

Owner

Phone

(928) 649-7899

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 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

  • Women's Health Nurse Practitioner
  • Cottonwood, AZ
  • NPI 1245691625
  NPD tax ID

Practitioners 2

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.

• Stephanie Marie Shilling, C.N.M.

  • Advanced Practice Midwife
  • Cottonwood, AZ
  • NPI 1508190174
  Medicare reassignment
• John C. French, MD PHD

  • Obstetrics & Gynecology Physician
  • Yuma, AZ
  • NPI 1972547867
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275889412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1851",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863261851",
            "telephone_number": "928-649-7899",
            "fax_number": "928-649-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W STATE ROUTE 89A STE 209",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263765",
            "telephone_number": "928-649-7899",
            "fax_number": "928-649-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PURINTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-649-7899",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "14606",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP3450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• BFB Assisted Living Homes, LLC (Mingus Terrace Assisted Living Home)

• Obstetrics Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Obstetrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.