Judith Bernadette Harvilla, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5275 Issued in AZ

Practice address

5620 W Thunderbird Rd Ste D4
Glendale, AZ 85306-4640

Phone

(602) 789-0880

Fax

(602) 789-0891

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Logan College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Healing Chiropractic PLLC

  • Chiropractor
  • Peoria, AZ
  • NPI 1164753083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1740220011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE D4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064640",
            "telephone_number": "602-789-0880",
            "fax_number": "602-789-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE D4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064640",
            "telephone_number": "602-789-0880",
            "fax_number": "602-789-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILLA",
        "first_name": "JUDITH",
        "middle_name": "BERNADETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ CHIROPRACTIC ID",
            "identifier": "5275",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "138738",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Hartsook
• Alexandria Leann Harty
• January Hartze, LPC
• Xhemile Haruni, SLPA
• Tara M Harvell, LPC
• Kaitlyn Hasan, PA-C
• V Michelle Hasegawa, LMT
• Sami Hashmi, MD
• Stacie Lynne Hassert, O.D.
• Albert Michael Hasson, M.D.

• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.