Healthy Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHY MEDICAL INC

Practice address

535 N. East St.
Suite a
Bradley, IL 60915

Phone

(815) 450-5504

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By 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

Michelle Axium, APRNNPI 1730411737

Title

Nurse Practitioner

Phone

(815) 450-5504

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michelle Renee Axium, APN-BC

  • Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1730411737
  NPD Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1285232991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HIGHPOINT DR",
            "city": "ESSEX",
            "state": "IL",
            "postal_code": "609356160",
            "telephone_number": "815-450-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N. EAST ST.",
            "address_2": "SUITE A",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "60915",
            "telephone_number": "815-450-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "AXIUM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "815-450-5504",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Marie Harrod, M.A.
• Roger Hartline, LCSW
• Brooke Hasier, DPT
• Hassan H Youssef MD SC
• Arianna Hayden
• Matthew Paul Hedding-Hess, LPC
• Tammie Henderson, N.P.
• Stephen A Hermes, MD
• Ella Holt
• Denise Ann Howard, MHS, CCC-SLP/L

• Family Medicine Physician in Bradley, IL
• Providers in Bradley, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.