Active NPI
CK Health LLC
- Nurse Practitioner
- Prescott Valley, AZ
National Provider Identifier
1649860198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- CK HEALTH LLC
- Practice address
- 3050 N Navajo Dr Ste 107
Prescott Valley, AZ 86314-8665 - Phone
- (928) 923-3095
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- 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
- Caroline Bingham
- Title
- Member
- Phone
- (858) 692-0056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
3050 N Navajo Dr Ste 107
Prescott Valley, AZ 86314-8665
Mailing address
9270 E Hunters Ranch Rd
Prescott Valley, AZ 86315-9184
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1649860198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9270 E HUNTERS RANCH RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863159184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 N NAVAJO DR STE 107",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863148665",
"telephone_number": "928-923-3095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CK HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "BINGHAM",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "858-692-0056"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.