Organization Active NPI

Ladys Choice LLC

  • Women's Health Nurse Practitioner
  • Pinetop, AZ
National Provider Identifier
1710026117
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN071478 Issued in AZ
Legal business name
LADYS CHOICE LLC
Practice address
728 E White MTN Blvd
Suite C
Pinetop, AZ 85935-2130
Phone
(928) 367-4257
Fax
(928) 367-4361
NPI assigned
Feb 5, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Shirley E Whitehead, WHCNPNPI 1639142557
Title
Owner
Phone
(928) 367-4257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN071478 AZ Primary

Addresses

Primary practice location

728 E White MTN Blvd
Suite C
Pinetop, AZ 85935-2130

Mailing address

728 E White MTN Blvd Ste # C
PO Box 2130
Pinetop, AZ 85935-2130
Phone (928) 367-4257

National Provider Directory

National Provider Directory

Locations

728 E White Mountain Blvd
Pinetop, AZ 85935
Phone (520) 367-6688

728 E White Mountain Blvd
Ste C
Pinetop, AZ 85935
Phone (928) 367-3701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1710026117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 E WHITE MTN BLVD STE # C",
            "address_2": "PO BOX 2130",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859352130",
            "telephone_number": "928-367-4257",
            "fax_number": "928-367-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E WHITE MTN BLVD",
            "address_2": "SUITE C",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859352130",
            "telephone_number": "928-367-4257",
            "fax_number": "928-367-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADYS CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-367-4257",
        "authorized_official_credential": "WHCNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN071478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.