Nebsource LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2194340 Issued in AZ

Legal business name

NEBSOURCE LLC

Practice address

4890 W Camino de la Amapola
Tucson, AZ 85745

Phone

(520) 576-8918

Fax

(888) 872-0212

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Bryan Young

Title

Owner

Phone

(520) 576-8918

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461369600000",
    "number": "1417317082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 W CAMINO DE LA AMAPOLA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85745",
            "telephone_number": "520-576-8918",
            "fax_number": "888-872-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 W CAMINO DE LA AMAPOLA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85745",
            "telephone_number": "520-576-8918",
            "fax_number": "888-872-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBSOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-04-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-576-8918"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "2194340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Neal
• Sylvia K Neal, LCSW
• Jimmy Nealy
• Mary Bayly Nebe I, M. ED.
• Holli Sue Nebel-Sussman
• Jennifer Lynn Neczypor, CNM, FNP-C
• Neda Consulting LLC (Adora Alliance)
• Diane Neddenriep, MD
• Cassandra Neeley, RBT
• Kyle Kendall Neeley, N.M.D.

• Durable Medical Equipment & Medical Supplies in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.