Desert Journey, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

196-13364 Issued in OH

Legal business name

DESERT JOURNEY, LLC

Practice address

904 E Prescott PL
Chandler, AZ 85249-5131

Phone

(513) 265-5486

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret R Kernen, RN IBCLC

Title

Lactation Consultant

Phone

(513) 265-5486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1568845592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E PRESCOTT PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495131",
            "telephone_number": "513-265-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E PRESCOTT PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495131",
            "telephone_number": "513-265-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "KERNEN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "513-265-5486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN IBCLC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "196-13364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Family Eye Care, LLC
• Desert Flower Home Care LLC
• Desert Gems Home Care Services LLC
• Desert General Surgeons LTD
• Desert Hand Therapy LLC (Desert Hand Therapy)
• Desert Laboratories LLC
• Desert Lake Assisted Living Home (Steven A. Lazorchak)
• Desert Light Chiropractic LLC
• Desert Lithotripsy, LLC
• Desert Medical and Mobility Products, LLC

• Exclusive Provider Organization in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.