Body and Soul Sovereignty United

Primary specialty

Perinatal Nurse PractitionerTaxonomy code 363LP1700X

Legal business name

BODY AND SOUL SOVEREIGNTY UNITED

Doing business as

Bass United

Practice address

20655 W Legend TRL
Buckeye, AZ 85396-1756

Phone

(833) 842-5577

Fax

(833) 842-5577

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luana Rodriguez, DNP, CNM, CCTPNPI 1659363166

Title

Executive Director

Phone

(833) 842-5577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bass United Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luana Rodriguez, DNP, CNM, CCTP

  • Advanced Practice Midwife
  • Buckeye, AZ
  • NPI 1659363166
  Authorized official Same address or phone

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1790432680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20655 W LEGEND TRL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961756",
            "telephone_number": "833-842-5577",
            "fax_number": "833-842-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20655 W LEGEND TRL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961756",
            "telephone_number": "833-842-5577",
            "fax_number": "833-842-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND SOUL SOVEREIGNTY UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "833-842-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CNM, CCTP"
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bass United",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Binegar
• Bio-Medical Applications of Arizona, LLC (Fresenius Kidney Care Lower Buckeye)
• Douglas Bishop, NP
• Kirstine A. Blackshear, PA-C
• Michaela Blea
• Patricia Bonasera, NP
• Ieesha Boykins
• BPDC PLLC (Marketside Chiropractic)
• Sara Brandal, APN
• Ashley Nicole Brezovsky

• Nurse Practitioner in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.