Healthful Healthcare PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HEALTHFUL HEALTHCARE PLLC

Practice address

14961 W Bell Rd Ste 100
Surprise, AZ 85374-3203

Phone

(623) 439-5176

Fax

(855) 583-1420

NPI assigned

Jan 30, 2023

Last updated

Oct 10, 2023By 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

Stephanie Blackmore, APRNNPI 1366052771

Title

Owner/ Nurse Practitioner

Phone

(623) 439-5176

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIBADD

Practitioners 3

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.

• Stephanie Elizabeth Blackmore, FNP

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1366052771
  Medicare reassignment NPD Authorized official
• Maria Luisa Silva, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1346016102
  Medicare reassignment NPD
• Michelle Gordon, FNP-C

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1255227591
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1811603202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743203",
            "telephone_number": "623-606-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743203",
            "telephone_number": "623-439-5176",
            "fax_number": "855-583-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFUL HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "BLACKMORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-439-5176",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.