Organization Active NPI

Bhumiyam

  • Health Maintenance Organization
  • Prescott, AZ
National Provider Identifier
1760805071
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MT-10655 Issued in AZ
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

Updated by the provider on Jan 23, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.