Organization Active NPI

Rose Canyon Health and Wellness LLC

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1306339049
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ROSE CANYON HEALTH AND WELLNESS LLC
Practice address
6239 E Brown Rd Ste 115
Mesa, AZ 85205-4933
Phone
(602) 740-2021
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Megan Haden, FNP
Title
Family Nurse Practitioner
Phone
(602) 740-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6239 E Brown Rd Ste 115
Mesa, AZ 85205-4933

Mailing address

180 S la Barge Rd
Apache Junction, AZ 85119-9399
Phone (602) 740-2021

Other names 1

  • Mobile Practitioner Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1306339049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S LA BARGE RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851199399",
            "telephone_number": "602-740-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 E BROWN RD STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054933",
            "telephone_number": "602-740-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CANYON HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HADEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-740-2021",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Practitioner",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.