Saguaro Bloom Med Spa LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SAGUARO BLOOM MED SPA LLC

Practice address

15323 N Scottsdale Road
Suite 180, Room 12
Scottsdale, AZ 85254

Phone

(315) 707-5676

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Katie Meahan, AGACNP-BCNPI 1336605567

Title

Owner, Nurse Practitioner

Phone

(314) 707-5676

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Katie Marie Meahan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1336605567
  NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1689427239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 E THUNDER HAWK RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315593",
            "telephone_number": "314-707-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15323 N SCOTTSDALE ROAD",
            "address_2": "SUITE 180, ROOM 12",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "315-707-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO BLOOM MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "MEAHAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-707-5676",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Counseling, Inc.
• Sage Midwifery, Inc.
• Brandie Lee Sager, LMT
• Wilhelmina Sagoe Annor, DNP
• Saguaro Bloom Diagnostics LLC
• Saguaro Family Dentistry
• Saguaro Imaging Center LLC
• Saguaro Treatment Center
• Arnold Saha, MD
• Debjit Saha, MBBS

• Health Service Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.