Organization Active NPI

Allergy Incorporated

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1356672182
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3102 Issued in AZ
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.