CBD HEALTHCARE LLC
NPI 1366854721
Nurse Practitioner - Family in Mesa, AZ
NPI Status: Active since May 20, 2014
Contact Information
4540 E BASELINE RD
#105
MESA, AZ
ZIP 85206
Phone: (602) 889-5833
Fax: (602) 889-5834
NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Nurse Practitioner
- Family
About CBD HEALTHCARE LLC
This page provides the complete NPI Profile along with additional information for Cbd Healthcare Llc, a provider established in Mesa, Arizona operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1366854721 assigned on May 2014. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Cbd Healthcare Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Craig Defries (Owner)
- NPI
- 1366854721
- Provider Name
- CBD HEALTHCARE LLC
- Entity Type
- Organization
- Location Address
- 4540 E BASELINE RD #105 MESA, AZ 85206
- Location Phone
- (602) 889-5833
- Location Fax
- (602) 889-5834
- Mailing Address
- PO BOX 60264 PHOENIX, AZ 85082
- Mailing Phone
- (602) 889-5833
- Mailing Fax
- (602) 889-5834
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2014
- Last Update Date
- 05-22-2014
- Code Navigator
A nurse practitioner (NP) like Cbd Healthcare Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- AZ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | (AZ) |
| 2 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | (AZ) |
| 3 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | (AZ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366854721, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366854721, enumerated as an "organization" on May 20, 2014.
The provider is located at 4540 E BASELINE RD #105 MESA, AZ 85206 and the phone number is (602) 889-5833.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
