The Milk Spot, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

AZ25151 Issued in AZ

Legal business name

THE MILK SPOT, LLC

Practice address

2922 N 18TH PL
Phoenix, AZ 85016-7705

Phone

(602) 529-5159

Fax

(602) 265-6644

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nichelle Whitehead, M.D.

Title

Manager

Phone

(602) 529-5159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1295278562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 N 18TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167705",
            "telephone_number": "602-529-5159",
            "fax_number": "602-265-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 N 18TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167705",
            "telephone_number": "602-529-5159",
            "fax_number": "602-265-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MILK SPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-529-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AZ25151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.