Active NPI
Your Health Connection, LLC
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1740966241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- YOUR HEALTH CONNECTION, LLC
- Practice address
- 1510 E Flower St
Phoenix, AZ 85014-5698 - Phone
- (602) 636-6366
- Fax
- (602) 636-6302
- NPI assigned
- Jun 27, 2023
- Organization subpart
- Yes
- Parent organization
- CARE YOUR WAY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Shumway
- Title
- Executive Director
- Phone
- (602) 530-6946
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1510 E Flower St
Phoenix, AZ 85014-5698
Mailing address
1510 E Flower St
Phoenix, AZ 85014-5698
Phone (602) 636-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240326002523 | AZ | Part B Supplier - Clinic/Group Practice | 2769829738 |
Receives reassigned benefits from 5 practitioners Practice locations: Phoenix, AZ |
National Provider Directory
National Provider Directory- Part of
- Hospice of the Valley
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1740966241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 E FLOWER ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145698",
"telephone_number": "602-636-6366",
"fax_number": "602-636-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E FLOWER ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145698",
"telephone_number": "602-636-6366",
"fax_number": "602-636-6302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR HEALTH CONNECTION, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARE YOUR WAY, LLC",
"enumeration_date": "2023-06-27",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "SHUMWAY",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "602-530-6946"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.