NPIMap

Organization Active NPI

Healthyu Phoenix 31St Avenue, LLC

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
National Provider Identifier
1902516362
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HEALTHYU PHOENIX 31ST AVENUE, LLC
Practice address
16841 N 31St Ave BLDG 3
Phoenix, AZ 85053-3012
Phone
(602) 491-0703
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Shane Speirs, MD, MBANPI 1427589498
Title
President
Phone
(480) 495-5485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

16841 N 31St Ave BLDG 3
Phoenix, AZ 85053-3012

Mailing address

840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Phone (480) 495-5485

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL AthenaHealthEHR

National Provider Directory

National Provider Directory

Locations

16841 N 31st Ave
Bldg 3
Phoenix, AZ 85053

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1902516362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "480-495-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE BLDG 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533012",
            "telephone_number": "602-491-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYU PHOENIX 31ST AVENUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "SPEIRS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-495-5485",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "AthenaHealthEHR",
            "affiliation": "N",
            "address_1": "840 E McKellips Rd Ste 105",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852039654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.