Happy Jack Healthcare, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HAPPY JACK HEALTHCARE, LLC

Practice address

5151 Enchanted LN
Happy Jack, AZ 86024-8665

Phone

(928) 951-5500

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By 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

Lettie Ryan, FNP-C

Title

Owner

Phone

(623) 670-3844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1699526624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 ENCHANTED LN",
            "city": "HAPPY JACK",
            "state": "AZ",
            "postal_code": "860248665",
            "telephone_number": "928-951-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 ENCHANTED LN",
            "city": "HAPPY JACK",
            "state": "AZ",
            "postal_code": "860248665",
            "telephone_number": "928-951-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY JACK HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "LETTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-670-3844",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina H Berne, PH.D.
• Blue Ridge Fire District
• Teresa Anne Rada, NMD NATUROPATHIC PHY
• Margarita Sargent, CSFA
• Suzanne Wetter, APRN

• Family Nurse Practitioner in Happy Jack, AZ
• Providers in Happy Jack, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.