OrganizationActive
Arizona Medical Boutique, LLC
NPI 1548462716 · Public Health or Welfare Agency · Phoenix, AZ
Arizona Medical Boutique, LLC is a Public Health or Welfare Agency organization in Phoenix, AZ (NPI 1548462716).
Provider details
- NPI number
- 1548462716
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shuree Oldehoeft, Physician Assistant(480) 766-0550
- License
- 3164 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
35017 N 30th Dr
Phoenix, AZ 85086-3224
Phone: (480) 766-0550
Fax: (623) 581-7499
Street-level locationGet directions
Mailing address
35017 N 30th Dr
Phoenix, AZ 85086-3224
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Arizona Medical Boutique, LLC's NPI number?
- Arizona Medical Boutique, LLC's National Provider Identifier (NPI) is 1548462716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Arizona Medical Boutique, LLC?
- Arizona Medical Boutique, LLC is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Arizona Medical Boutique, LLC located?
- Arizona Medical Boutique, LLC's practice location on file with NPPES is 35017 N 30th Dr, Phoenix, AZ 85086-3224.
- What is Arizona Medical Boutique, LLC's phone number?
- The practice phone number listed in the NPPES registry for Arizona Medical Boutique, LLC is (480) 766-0550.
- Who is the authorized official for Arizona Medical Boutique, LLC?
- The authorized official listed on Arizona Medical Boutique, LLC's NPPES record is Shuree Oldehoeft, Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Arizona Medical Boutique, LLC's NPI active?
- Yes — Arizona Medical Boutique, LLC's NPI (1548462716) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.