The Healthy Place PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE HEALTHY PLACE PLLC

Practice address

2942 N 24TH St. Ste 115
PMB 818048
Phoenix, AZ 85016

Phone

(602) 603-7375

Fax

(602) 563-8218

NPI assigned

Aug 1, 2025

Organization subpart

No

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

Authorized official

Name

Tyler AndersonNPI 1578995049

Title

Co-Owner

Phone

(586) 612-0476

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Claire Gucciardi Anderson, PA-C

  • Physician Assistant
  • Lillington, NC
  • NPI 1538623269

  AZ

  Medicare reassignment NPD
• Tyler Evan Anderson, RPA, RT(R)

  • Radiology Practitioner Assistant
  • Cary, NC
  • NPI 1578995049
  NPD Authorized official

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1659255859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18017 W MONTEBELLO AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402573",
            "telephone_number": "586-612-0476",
            "fax_number": "602-563-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST. STE 115",
            "address_2": "PMB 818048",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-603-7375",
            "fax_number": "602-563-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY PLACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "586-612-0476"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.