Aman's Telehealth NP, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AMAN'S TELEHEALTH NP, LLC

Practice address

13794 W Waddell Rd # 203-131
Surprise, AZ 85379-8499

Phone

(623) 594-8589

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By 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

Reese Aman, RN

Title

Owner/Executive Manager

Phone

(602) 451-3440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1871097121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13794 W WADDELL RD # 203-131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798499",
            "telephone_number": "623-594-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13794 W WADDELL RD # 203-131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798499",
            "telephone_number": "623-594-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAN'S TELEHEALTH NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "AMAN",
        "authorized_official_first_name": "REESE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "602-451-3440",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1023376993",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.