Active NPI
Humanity Health Providers, LLC
- Family Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1982015525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HUMANITY HEALTH PROVIDERS, LLC
- Practice address
- 657 E Cottonwood St
Unit 9
Cottonwood, AZ 86326-4407 - Phone
- (928) 649-6557
- Fax
- (928) 649-0228
- NPI assigned
- May 16, 2014
- 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
- Jaenene K Morrow
- Title
- Business Administrator
- Phone
- (928) 295-7377
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Gastroenterology Physician | 207RG0100X |
Addresses
Primary practice location
657 E Cottonwood St
Unit 9
Cottonwood, AZ 86326-4407
Mailing address
401 S Calvary Way Ste B
Cottonwood, AZ 86326-4165
Phone (928) 649-6557
Other practice location 1
401 S Calvary Way Ste B
Cottonwood, AZ 86326-4165
Phone (928) 649-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2530 W State Route 89A
Ste B3
Sedona, AZ 86336
Phone (928) 203-9600
6446 State Route 179
Ste 209
Sedona, AZ 86351
Phone (928) 204-4900
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Cottonwood, AZ
- NPI 1780669747
-
- Gastroenterology Physician
- Cottonwood, AZ
- NPI 1528050135
-
- Gastroenterology Physician
- Cottonwood, AZ
- NPI 1841372737
-
- Physician Assistant
- Cottonwood, AZ
- NPI 1801847926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1982015525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S CALVARY WAY STE B",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264165",
"telephone_number": "928-649-6557",
"fax_number": "928-634-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 E COTTONWOOD ST",
"address_2": "UNIT 9",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264407",
"telephone_number": "928-649-6557",
"fax_number": "928-649-0228"
}
],
"practiceLocations": [
{
"address_1": "401 S Calvary Way Ste B",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863264165",
"country_code": "US",
"telephone_number": "928-649-6557",
"fax_number": "928-634-6389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HUMANITY HEALTH PROVIDERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-16",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "MORROW",
"authorized_official_first_name": "JAENENE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "928-295-7377"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.