NPIMap

Organization Active NPI

Emerged LLC

  • Health Educator
  • Tempe, AZ
National Provider Identifier
1366044240
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
EMERGED LLC
Practice address
6507 S Hardy Dr Apt 224
Tempe, AZ 85283-3590
Phone
(602) 228-8818
NPI assigned
Nov 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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

Authorized official

Name
Tachunda Burks, MAFS
Title
Owner
Phone
(602) 228-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

6507 S Hardy Dr Apt 224
Tempe, AZ 85283-3590

Mailing address

6507 S Hardy Dr Apt 224
Tempe, AZ 85283-3590
Phone (602) 228-8818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1366044240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 S HARDY DR APT 224",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833590",
            "telephone_number": "602-228-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 S HARDY DR APT 224",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833590",
            "telephone_number": "602-228-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "TACHUNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-228-8818",
        "authorized_official_credential": "MAFS"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.