Opulent Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OPULENT HEALTH LLC

Practice address

2001 W Orange Grove Rd Ste 312
Tucson, AZ 85704-1141

Phone

(520) 297-3907

Fax

(520) 989-3486

NPI assigned

May 21, 2019

Last updated

May 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Benjamin Hackett, FNP-CNPI 1285015503

Title

Nurse Practitioner

Phone

(520) 505-1350

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Benjamin Hackett, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1285015503
  NPD Authorized official

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1336706837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36627",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406627",
            "telephone_number": "520-297-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD STE 312",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041141",
            "telephone_number": "520-297-3907",
            "fax_number": "520-989-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "520-505-1350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.