OrganizationActive
Ab Boutique Medicine LLC
NPI 1285414888 · Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1285414888
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chad Benninghoff, Owner(512) 203-0413
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133
Phone: (512) 203-0413
Street-level locationGet directions
Mailing address
20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.