Bevhion Boudica Family Healthcare, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEVHION BOUDICA FAMILY HEALTHCARE, PLLC

Practice address

2323 E Greenlaw LN Ste 7B
Flagstaff, AZ 86004-1849

Phone

(928) 863-6673

Fax

(928) 222-2285

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Bevhion Beatrix Boudica, FNP

Title

Owner

Phone

(928) 863-6673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1912647405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 7B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-863-6673",
            "fax_number": "928-222-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 7B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-863-6673",
            "fax_number": "928-222-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVHION BOUDICA FAMILY HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "BOUDICA",
        "authorized_official_first_name": "BEVHION",
        "authorized_official_middle_name": "BEATRIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-863-6673",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Evons Berlyn, PT
• Isabella Grace Berns-Harper, BS, SLPA/L
• Teresa Denise Bertsch, M.D.
• Dana Lynn Betsworth
• Beverlee Gibbs-Cassady
• McKenzie Bevirt, RN
• Emily Ann Bey
• Stephanie N Beynon, NMD
• Beyond the Basics
• Beyond the Basics

• All providers in Flagstaff, AZ
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.