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DESERT BLOOM FAMILY MEDICINE
NPI 1356723837
Nurse Practitioner - Family in Phoenix, AZ

Active since June 22, 2015CLIA 03D2227954 · Waiver
10240 W INDIAN SCHOOL RD STE 155, PHOENIX, AZ 85037(623) 385-7900(623) 792-1233 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desert Bloom Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT BLOOM FAMILY MEDICINE (NPI 1356723837) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Martha Ann Conradson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356723837
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTHY LIFE CORPORATION
Location Address10240 W INDIAN SCHOOL RD STE 155Phoenix, AZ 85037-5909
Mailing Address10240 W Indian School Rd Ste 155Phoenix, AZ 85037-5909 · (623) 385-7900 · Fax (623) 792-1233
Phone(623) 385-7900
Fax(623) 792-1233
Organization SubpartNo
Authorized OfficialMartha Ann ConradsonAdministrator · (623) 385-7900
Enumeration DateJune 22, 2015
✔ NPI 1356723837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP7820
10240 W INDIAN SCHOOL RD STE 155, Phoenix, AZ 85037
Open in Google Maps ↗

Other Names 1

Other NameDesert Bloom Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2227954

Desert Bloom Family Medicine · Surprise, AZ
Active · expires Jun 17, 2027
CLIA Number03D2227954
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorChristopher S. Hiler
Laboratory Phone(623) 385-7900
Laboratory LocationDesert Bloom Family Medicine14741 W Mountain View Rd, Surprise, AZ 85374
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AURORA IRENE KEELER
Nurse Practitioner (Family)
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 594-3171
DR. ANDREW DENNIS HOEFFLER DNP, NP-C
Nurse Practitioner (Family)
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 594-3171
REGINA JO JONES FNP
Nurse Practitioner (Family)
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 594-3171
CHRISTOPHER S HILER M.D.
Family Medicine
10240 W INDIAN SCHOOL RD STE 155, SUITE 220
PHOENIX, AZ 85037
Maricopa County (623) 385-7900
DR. LUIS ANTONIO LOPEZ MD
Physician Assistant
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 385-7900
CHRISTINE ROCKS-LOPEZ
Nurse Practitioner (Primary Care)
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 385-7900
BETHANY E MAINVILLE-BROOKS CNM
Advanced Practice Midwife
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 385-7900
DR. ETHAN OWEN KENNEDY DO
Family Medicine
10240 W INDIAN SCHOOL RD STE 155
PHOENIX, AZ 85037
Maricopa County (623) 385-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Life Corporation's NPI number?

The NPI number for Healthy Life Corporation is 1356723837. It was assigned to this organization in the NPPES registry on June 22, 2015. The provider is also known as Desert Bloom Family Medicine.

Where is Healthy Life Corporation located?

Healthy Life Corporation is located at 10240 W Indian School Rd Ste 155, Phoenix, AZ 85037. The listed phone number is (623) 385-7900.

What is Healthy Life Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Healthy Life Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2227954) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthy Life Corporation was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.