Healthstyles Southwest, Inc.

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

HEALTHSTYLES SOUTHWEST, INC.

Practice address

1432 E Northern Ave
Phoenix, AZ 85020-4319

Phone

(602) 944-9626

Fax

(602) 216-7834

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Irene D Bradt

Title

President

Phone

(602) 944-9626

Specialties & licenses 3

Addresses

Other names 1

• Bashas' Healthstyles Other name

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1366564452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 E NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204319",
            "telephone_number": "602-944-9626",
            "fax_number": "602-216-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204319",
            "telephone_number": "602-944-9626",
            "fax_number": "602-216-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTYLES SOUTHWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BRADT",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-944-9626"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bashas' Healthstyles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.