Organization Active NPI

Cactus Bloom Studio

  • Clinic/Center
  • Mesa, AZ
National Provider Identifier
1316742992
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CACTUS BLOOM STUDIO
Practice address
8950 E Germann Rd # 15
Mesa, AZ 85212-5301
Phone
(480) 477-4467
Fax
(480) 781-4896
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Misty Shearer, FNPNPI 1083313761
Title
Owner
Phone
(480) 332-9729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8950 E Germann Rd # 15
Mesa, AZ 85212-5301

Mailing address

18451 E Aubrey Glen Rd
Queen Creek, AZ 85142-3626
Phone (480) 332-9729

Other names 1

  • Cactus Bloom Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

8950 E Germann Rd
Ste 15
Mesa, AZ 85212
Phone (480) 477-4467

8950 E Germann Rd
#15
Mesa, AZ 85212
Phone (480) 477-4467

Practitioners & affiliated clinicians

Practitioners 2

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": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1316742992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 E AUBREY GLEN RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423626",
            "telephone_number": "480-332-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 E GERMANN RD # 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125301",
            "telephone_number": "480-477-4467",
            "fax_number": "480-781-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS BLOOM STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-332-9729",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cactus Bloom Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2025; 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.