Preferred Body Solutions LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PREFERRED BODY SOLUTIONS LLC

Practice address

11418 W Rosewood Dr
Avondale, AZ 85392-3421

Phone

(602) 430-9646

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lameck John Nyakweba

Title

Chief Executive Officer

Phone

(602) 430-9646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1316569759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11418 W ROSEWOOD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923421",
            "telephone_number": "602-430-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11418 W ROSEWOOD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923421",
            "telephone_number": "602-430-9646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11418 W Rosewood Dr",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853923421",
            "country_code": "US",
            "telephone_number": "602-430-9646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREFERRED BODY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "NYAKWEBA",
        "authorized_official_first_name": "LAMECK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-430-9646",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brynn Powers
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• Victoria Anna Powers, MS, CCC-SLP
• Thomas James Prade, DDS
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• Family Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.