Active NPI
Villa Minch, LLC
- Geriatric Medicine (Family Medicine) Physician
- Mesa, AZ
National Provider Identifier
1912357401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- VILLA MINCH, LLC
- Practice address
- 1212 N Spencer
Suite 3
Mesa, AZ 85203-4347 - Phone
- (480) 726-7792
- NPI assigned
- Jun 15, 2016
- Last updated
- Jun 15, 2016
- 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
- Christine Minch, FNP-BC
- Title
- Owner/Family Nurse Practitioner
- Phone
- (480) 543-8400
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
1212 N Spencer
Suite 3
Mesa, AZ 85203-4347
Mailing address
1212 N Spencer
Suite 3
Mesa, AZ 85203-4347
Phone (480) 726-7792
National Provider Directory
National Provider DirectoryLocations
1212 N Spencer
#3
Mesa, AZ 85203
1212 N Spencer
Ste 3
Mesa, AZ 85203
Phone (480) 466-9187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465948800000",
"number": "1912357401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 N SPENCER",
"address_2": "SUITE 3",
"city": "MESA",
"state": "AZ",
"postal_code": "852034347",
"telephone_number": "480-726-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 N SPENCER",
"address_2": "SUITE 3",
"city": "MESA",
"state": "AZ",
"postal_code": "852034347",
"telephone_number": "480-726-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA MINCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A",
"authorized_official_last_name": "MINCH",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "480-543-8400",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.