Organization Active NPI

Humanity Health Providers, LLC

  • Family Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1982015525
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Dec 28, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20140905002142 AZ Part B Supplier - Clinic/Group Practice 3870711724 Receives reassigned benefits from 4 practitioners
Practice locations: Cottonwood, AZ; Sedona, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.