Organization Active NPI

Vanish Pain & Allergy

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1558876284
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
VANISH PAIN & ALLERGY
Practice address
207 W Clarendon Ave Ste 3
Phoenix, AZ 85013-3447
Phone
(602) 576-6770
Fax
(602) 535-4859
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Tashana Steward, NP-C
Title
Nurse Practitioner/ Owner
Phone
(602) 576-6770

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

207 W Clarendon Ave Ste 3
Phoenix, AZ 85013-3447

Mailing address

6807 W Carter Rd
Laveen, AZ 85339-7051
Phone (602) 576-6770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1558876284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 W CARTER RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397051",
            "telephone_number": "602-576-6770",
            "fax_number": "602-535-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W CLARENDON AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133447",
            "telephone_number": "602-576-6770",
            "fax_number": "602-535-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANISH PAIN & ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "STEWARD",
        "authorized_official_first_name": "TASHANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "602-576-6770",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "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 Dec 4, 2017; 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.