Organization Active NPI

Equine Educational Experiences

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
National Provider Identifier
1760789457
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LAC 12862 Issued in AZ
Legal business name
EQUINE EDUCATIONAL EXPERIENCES
Practice address
7795 Pine Canyon Dr
Flagstaff, AZ 86004-1266
Phone
(928) 606-6007
NPI assigned
Feb 16, 2011
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Donna Jo Halterman, M.ED.
Title
President
Phone
(928) 606-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LAC 12862 AZ Primary

Addresses

Primary practice location

7795 Pine Canyon Dr
Flagstaff, AZ 86004-1266

Mailing address

7795 Pine Canyon Dr
Flagstaff, AZ 86004-1266
Phone (928) 606-6007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1760789457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7795 PINE CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041266",
            "telephone_number": "928-606-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7795 PINE CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041266",
            "telephone_number": "928-606-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINE EDUCATIONAL EXPERIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "HALTERMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-606-6007",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LAC 12862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.