Active NPI
Healthy Life Corporation
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1356723837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7820
- Legal business name
- HEALTHY LIFE CORPORATION
- Practice address
- 10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909 - Phone
- (623) 385-7900
- Fax
- (623) 792-1233
- NPI assigned
- Jun 22, 2015
- 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
- Ms. Martha Ann Conradson
- Title
- Administrator
- Phone
- (623) 385-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7820 | AZ | Primary |
Addresses
Primary practice location
10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909
Mailing address
10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909
Phone (623) 385-7900
Other names 1
- Desert Bloom Family Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1336133701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434931200000",
"number": "1356723837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 W INDIAN SCHOOL RD STE 155",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375909",
"telephone_number": "623-385-7900",
"fax_number": "623-792-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 W INDIAN SCHOOL RD STE 155",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375909",
"telephone_number": "623-385-7900",
"fax_number": "623-792-1233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIFE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-22",
"last_updated": "2015-06-22",
"status": "A",
"authorized_official_last_name": "CONRADSON",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "623-385-7900",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Bloom Family Medicine",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.