Mishaun PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MISHAUN PLLC

Doing business as

Newman Primary Care Health and Wellness

Practice address

3640 Highway 95 Ste 100
Bullhead City, AZ 86442-4336

Phone

(702) 339-7688

NPI assigned

Apr 21, 2023

Last updated

Apr 21, 2023By 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

Mishaun Frances Newman, FNP-CNPI 1174897557

Title

Owner

Phone

(702) 339-7688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Newman Primary Care Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Mishaun Frances Newman, FNP-C

  • Family Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1174897557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1356038053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 GRANDHILL RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428512",
            "telephone_number": "702-339-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGHWAY 95 STE 100",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424336",
            "telephone_number": "702-339-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHAUN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "MISHAUN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-339-7688",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174897557",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newman Primary Care Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianne R Miller
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• Kinga Miranda, OTR/L
• Courtney Ann Mitchell, FNP-C
• Kathleen Anne Mlekush, RDMS, RVT
• MMG LLC (Mobile Medical Group)
• Mohave Arthritis Associates, Inc
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• Primary Care Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, 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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.