Organization Active NPI

Blue Ye Maya LLC

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1477050375
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BLUE YE MAYA LLC
Practice address
531 E Lynwood St FL 2
Phoenix, AZ 85004-1626
Phone
(602) 821-1594
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Shell Luttrell
Title
Owner
Phone
(602) 246-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

531 E Lynwood St FL 2
Phoenix, AZ 85004-1626

Mailing address

531 E Lynwood St FL 2
Phoenix, AZ 85004-1626

National Provider Directory

National Provider Directory
Tax ID family
Blue Ye Maya LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

531 E Lynwood St
Fl 2
Phoenix, AZ 85004
Phone (602) 821-1594

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1477050375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E LYNWOOD ST FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E LYNWOOD ST FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041626",
            "telephone_number": "602-821-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE YE MAYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "LUTTRELL",
        "authorized_official_first_name": "SHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-246-4466"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2018; 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.