Active NPI
Bhumiyam
- Health Maintenance Organization
- Prescott, AZ
National Provider Identifier
1760805071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- MT-10655
- Legal business name
- BHUMIYAM
- Practice address
- 634 Schemmer Dr Ste 301
Prescott, AZ 86305-2368 - Phone
- (928) 713-9631
- NPI assigned
- Jan 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly A Grey
- Title
- Massage Therapist
- Phone
- (928) 713-9631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | MT-10655 | AZ | Primary |
Addresses
Primary practice location
634 Schemmer Dr Ste 301
Prescott, AZ 86305-2368
Mailing address
PO Box 96
Skull Valley, AZ 86338-0096
Phone (928) 713-9631
National Provider Directory
National Provider DirectoryLocations
634 Schemmer Dr
Ste 301
Prescott, AZ 86305
Phone (928) 443-7717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390435200000",
"number": "1760805071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"city": "SKULL VALLEY",
"state": "AZ",
"postal_code": "863380096",
"telephone_number": "928-713-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 SCHEMMER DR STE 301",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863052368",
"telephone_number": "928-713-9631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHUMIYAM",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A",
"authorized_official_last_name": "GREY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "928-713-9631"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "AZ",
"license": "MT-10655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Eric E Bewley, CDT
- Beyond Physical Therapy PLLC (Beyond Physical Therapy)
- Beyond Physical Therapy PLLC
- Beyond the Stigma Az PLLC
- Maximilian Bezzegh, PHARMD
- Bonnie Bianchi, LISAC, CADAC, NCACII
- Michele A Bibeau, D.D.S.
- Shelley Bideau
- Big Park Pharmacy LLC (Prescott Compounding Pharmacy)
- Bilbray Counseling Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.