Active NPI
Allergy Incorporated
- Family Nurse Practitioner
- Buckeye, AZ
National Provider Identifier
1356672182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3102
- Legal business name
- ALLERGY INCORPORATED
- Practice address
- 20518 W White Rock Rd
Buckeye, AZ 85396-7750 - Phone
- (650) 924-1174
- NPI assigned
- Jan 19, 2010
- Last updated
- Jan 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Lee Letz, DNP
- Title
- Ceo
- Phone
- (650) 924-1174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3102 | AZ | Primary |
Addresses
Primary practice location
20518 W White Rock Rd
Buckeye, AZ 85396-7750
Mailing address
20518 W White Rock Rd
Buckeye, AZ 85396-7750
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1356672182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20518 W WHITE ROCK RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853967750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20518 W WHITE ROCK RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853967750",
"telephone_number": "650-924-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A",
"authorized_official_last_name": "LETZ",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "650-924-1174",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.