Desert Zen Healthcare

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

DESERT ZEN HEALTHCARE

Practice address

11611 S Foothills Blvd Ste F
Yuma, AZ 85367-5845

Phone

(282) 479-2779

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Heather Charles

Title

Admin Assist/Billing

Phone

(928) 247-9277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: kstevens86@org183.direct.charmhealth.com

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1588433726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 S FOOTHILLS BLVD STE F",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675845",
            "telephone_number": "928-247-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 S FOOTHILLS BLVD STE F",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675845",
            "telephone_number": "282-479-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ZEN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMIN ASSIST/BILLING",
        "authorized_official_telephone_number": "928-247-9277"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159894",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Sage Medical Clinic
• Desert Sedation Services LLC
• Desert Sky Family Clinic of Yuma
• Desert Spine Center a Professional Corporation
• Desert Spine Institute PLLC
• Destiny Rose Hospice
• Sarah C Determan, PA C
• Thomas Francis Determan
• Jessica Bond Detrick
• Douglas Wayne Devries, D.C.

• Adult Health Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.