Womens Medical Health Center Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AZNP54 Issued in AZ

Legal business name

WOMENS MEDICAL HEALTH CENTER INC

Practice address

1956 Mesquite Ave
Suite 103
Lake Havasu City, AZ 86403-5888

Phone

(928) 505-5300

Fax

(928) 505-2333

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Elaine Ruth Henson, ANPNPI 1306847686

Title

Owner/NP

Phone

(928) 505-5300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WOMENS MEDICAL HEALTH CENTER Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Ruth Henson, ANP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1306847686
  NPD (past) Authorized official
• Carol A Capozzi, ARNP

  • Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1528101151
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811952047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 MESQUITE AVE",
            "address_2": "SUITE 103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035888",
            "telephone_number": "928-505-5300",
            "fax_number": "928-505-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 MESQUITE AVE",
            "address_2": "SUITE 103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035888",
            "telephone_number": "928-505-5300",
            "fax_number": "928-505-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS MEDICAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "928-505-5300",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AZNP54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0153580",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333253",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMENS MEDICAL HEALTH CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brandy Lee Wilson, LPN
• Tin T Win, M.D.
• Adejare Windokun, MD
• Alexis Elizabeth Wolf, LAC
• Woman and Child Health, PC
• Francis Jonathan Woo, MD
• Stephanie Woo, OD
• Brittany Woodall, DO
• Wright Care LLC
• Tyler Wright

• Nurse Practitioner in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.