Active NPI
Unity Rem, LLC
- Neurology Physician
- Tempe, AZ
National Provider Identifier
1891345211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- UNITY REM, LLC
- Practice address
- 4765 S Lakeshore Dr
Tempe, AZ 85282-7197 - Phone
- (949) 683-0014
- NPI assigned
- Sep 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Crist
- Title
- Authorized Agent
- Phone
- (317) 442-8436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
4765 S Lakeshore Dr
Tempe, AZ 85282-7197
Mailing address
PO Box 11180
Tempe, AZ 85284-0020
Phone (317) 442-8436
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579737600000",
"number": "1891345211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11180",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852840020",
"telephone_number": "317-442-8436",
"fax_number": "480-339-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4765 S LAKESHORE DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827197",
"telephone_number": "949-683-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY REM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A",
"authorized_official_last_name": "CRIST",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "317-442-8436"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.