Active NPI
Vanish Pain & Allergy
- Pain Clinic/Center
- Phoenix, AZ
National Provider Identifier
1558876284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.