NPIMap

Organization Active NPI

Purebalance Healthcare Service PLLC

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1942015755
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PUREBALANCE HEALTHCARE SERVICE PLLC
Practice address
238 S 165TH Dr
Goodyear, AZ 85338-1963
Phone
(602) 551-6636
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Terrianne DonerNPI 1659190049
Title
FNP
Phone
(602) 551-6636

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

238 S 165TH Dr
Goodyear, AZ 85338-1963

Mailing address

1846 E Innovation Park Dr Ste 100
Oro Valley, AZ 85755-1963

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1942015755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S 165TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381963",
            "telephone_number": "602-551-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREBALANCE HEALTHCARE SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "DONER",
        "authorized_official_first_name": "TERRIANNE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "602-551-6636"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.