Johnwick Nathan

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

6736 W Carson Rd
Laveen, AZ 85339-7024

Phone

(860) 938-6845

NPI assigned

Aug 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbor Health Integrated Care LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1831711258
  NPD Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1306327770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 W CHANDLER BLVD APT 3049",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262662",
            "telephone_number": "860-938-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 W CARSON RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397024",
            "telephone_number": "860-938-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7015 N 23rd Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850217605",
            "country_code": "US",
            "telephone_number": "860-938-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "JOHNWICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titus Kimani Mwangi
• Lekha Manu Nair, APRN-RNP, NP-C
• Michele Ann Napolitano
• Trever Nahau Narramore, PHARMD
• Nathan Care Home
• National Birth Centers, Inc.
• Nationwide Optometry P.C.
• Native Care Medical Transportation LLC
• Natalie Neer Hart
• Abbas Nejad, DDS

• Substance Abuse Rehabilitation Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.