Medspa By Soul Surgery, LLC
NPI 1184104812 · Substance Use Disorder Rehabilitation Clinic/Center · Scottsdale, AZ
Medspa By Soul Surgery, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Scottsdale, AZ (NPI 1184104812).
Provider details
- NPI number
- 1184104812
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Regina Shakespeare, Billing Compliance Officer(928) 554-5633
- License
- XT4080190 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-21
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Frequently asked questions
- What is Medspa By Soul Surgery, LLC's NPI number?
- Medspa By Soul Surgery, LLC's National Provider Identifier (NPI) is 1184104812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medspa By Soul Surgery, LLC?
- Medspa By Soul Surgery, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medspa By Soul Surgery, LLC located?
- Medspa By Soul Surgery, LLC's practice location on file with NPPES is 14362 N Frank Lloyd Wright Blvd Ste B109, Scottsdale, AZ 85260-8881.
- What is Medspa By Soul Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medspa By Soul Surgery, LLC is (480) 912-3105.
- Who is the authorized official for Medspa By Soul Surgery, LLC?
- The authorized official listed on Medspa By Soul Surgery, LLC's NPPES record is Regina Shakespeare, Billing Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medspa By Soul Surgery, LLC's NPI active?
- Yes — Medspa By Soul Surgery, LLC's NPI (1184104812) is active in the NPPES registry as of the last update on 2020-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.