Incredible Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INCREDIBLE HEALTH LLC

Practice address

10595 N Tatum Blvd
Suite E-141
Paradise Valley, AZ 85253-1072

Phone

(480) 418-3678

Fax

(480) 999-4447

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Toni L Harrison, MD

Title

Owner

Phone

(480) 418-3678

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1346691136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10595 N TATUM BLVD STE E141",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531072",
            "telephone_number": "480-418-3678",
            "fax_number": "480-999-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10595 N TATUM BLVD",
            "address_2": "SUITE E-141",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531072",
            "telephone_number": "480-418-3678",
            "fax_number": "480-999-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREDIBLE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-418-3678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James S Gough MDPC
• Nicole Alexandria Jenkins, CCC-SLP
• Cristian N Jivcu, M.D.

• General Practice Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.