Nirvana Holistic Health Centers, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4495 Issued in AZ

Legal business name

NIRVANA HOLISTIC HEALTH CENTERS, PLLC

Doing business as

Nirvana Holistic Health Centers

Practice address

733 E University Dr
Suite 4
Mesa, AZ 85203-7965

Phone

(480) 890-3790

Fax

(480) 890-3051

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kendra Alyssa Avant-Ortiz, FNP-C

Title

Chief Executive Officer

Phone

(480) 241-3710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nirvana Holistic Health Centers Doing business as

Locations

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1982059853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 E UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037965",
            "telephone_number": "480-890-3790",
            "fax_number": "480-890-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037965",
            "telephone_number": "480-890-3790",
            "fax_number": "480-890-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA HOLISTIC HEALTH CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "AVANT-ORTIZ",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "ALYSSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-241-3710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135547",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirvana Holistic Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Ndunge Nikolic, NP-C
• Elizabeth Jane Nikolic, NMD
• Kimberly Nino, RBT
• Aimee Nipper
• Neal A Nirenberg, M.D.
• Ajaysingh Nirwan, MD
• Stephanie D Nixon, LPC
• Miranda Gamgah Njante, APRN, FNP-PMHNP
• Emmah Njoki, PT
• Rose Njoroge

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.