BODY AND SOUL SOVEREIGNTY UNITED
NPI 1790432680
Nurse Practitioner - Perinatal in Buckeye, AZ

Active since March 09, 2022
20655 W LEGEND TRL, BUCKEYE, AZ 85396(833) 842-5577(833) 842-5577 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Body And Soul Sovereignty United NPPES

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

BODY AND SOUL SOVEREIGNTY UNITED (NPI 1790432680), doing business as Bass United, is a healthcare organization registered as a perinatal in Buckeye, Arizona and active in the NPI registry since March 2022. The organization lists Luana Rodriguez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790432680
Entity TypeOrganization
Primary Taxonomy363LP1700X
Legal Business NameBODY AND SOUL SOVEREIGNTY UNITED
Location Address20655 W LEGEND TRLBuckeye, AZ 85396-1756
Mailing Address20655 W Legend TrlBuckeye, AZ 85396-1756 · (833) 842-5577 · Fax (833) 842-5577
Fax(833) 842-5577
Organization SubpartNo
Authorized OfficialLuana RodriguezExecutive Director · (833) 842-5577
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1790432680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PerinatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP1700X
20655 W LEGEND TRL, Buckeye, AZ 85396

Other Names 1

Doing Business AsBass United

Other Identifiers 1

Medicaid481737AZ

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

Other Providers at the Same Location NPPES

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

Advanced Practice Midwife
20655 W LEGEND TRL
BUCKEYE, AZ 85396

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 Body And Soul Sovereignty United's NPI number?

The NPI number for Body And Soul Sovereignty United is 1790432680. It was assigned to this organization in the NPPES registry on March 9, 2022. The provider is doing business as Bass United.

Where is Body And Soul Sovereignty United located?

Body And Soul Sovereignty United is located at 20655 W Legend Trl, Buckeye, AZ 85396. The listed phone number is (833) 842-5577.

What is Body And Soul Sovereignty United's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Perinatal, with taxonomy code 363LP1700X.

When was this NPI record last updated?

The NPPES record for Body And Soul Sovereignty United was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.