Active NPI
Momentum Health PLC
- Psychiatric/Mental Health Nurse Practitioner
- Coolidge, AZ
National Provider Identifier
1962288282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MOMENTUM HEALTH PLC
- Practice address
- 985 N Arizona Blvd
Coolidge, AZ 85128-3726 - Phone
- (928) 216-2991
- NPI assigned
- Sep 1, 2023
- 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
- Mr. Nathaniel Holtzman, PMHNP
- Title
- Owner
- Phone
- (928) 216-2991
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
985 N Arizona Blvd
Coolidge, AZ 85128-3726
Mailing address
7760 E State Route 69 Ste C5-234
Prescott Valley, AZ 86314-2201
Phone (928) 216-2991
National Provider Directory
National Provider DirectoryLocations
985 N Arizona Blvd
Coolidge, AZ 85128
Phone (928) 216-2991
7760 E State Route 69
Ste C5234
Prescott Valley, AZ 86314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Coolidge, AZ
- NPI 1992470116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735689600000",
"number": "1962288282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 E STATE ROUTE 69 STE C5-234",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142201",
"telephone_number": "928-216-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 N ARIZONA BLVD",
"city": "COOLIDGE",
"state": "AZ",
"postal_code": "851283726",
"telephone_number": "928-216-2991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM HEALTH PLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-01",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A",
"authorized_official_last_name": "HOLTZMAN",
"authorized_official_first_name": "NATHANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-216-2991",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coolidge, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.