Individual provider Active NPI

Samareea Daquator Tesia Saunders

  • Family Nurse Practitioner
  • Chino Valley, AZ
National Provider Identifier
1013739523
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
319342 Issued in AZ
Practice address
87 S State Route 89
Chino Valley, AZ 86323-5687
Phone
(928) 404-1488
Fax
(866) 232-8580
NPI assigned
Oct 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 319342 AZ Primary
Family Nurse Practitioner 363LF0000X 12084675-4405 UT

Addresses

Primary practice location

87 S State Route 89
Chino Valley, AZ 86323-5687

Mailing address

87 S State Route 89
Chino Valley, AZ 86323-5687
Phone (928) 404-1488

Other practice location 1

3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582

Other practice location 2

450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone (928) 634-9573

Other practice location 3

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 777-9600

Other practice location 4

12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Phone (928) 772-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214001764 AZ Practitioner - Nurse Practitioner 2769912161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 458-7563

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
319342AZMDFamily Nurse Practitioner
12084675-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Mar 3, 2025 Accepting new patients

Locations

87 S US Highway 89
Chino Valley, AZ 86323
Phone (928) 404-1488

450 S Willard St
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-4231

743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000

12075 E State Route 69
Ste B
Prescott Valley, AZ 86327
Phone (928) 772-1673

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1013739523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 S STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235687",
            "telephone_number": "928-404-1488",
            "fax_number": "866-232-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235687",
            "telephone_number": "928-404-1488",
            "fax_number": "866-232-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141222",
            "country_code": "US",
            "telephone_number": "928-772-2582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Willard St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863266744",
            "country_code": "US",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Miller Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011813",
            "country_code": "US",
            "telephone_number": "928-777-9600",
            "fax_number": "855-449-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12075 E State Route 69 Ste B",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863274569",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "SAMAREEA",
        "middle_name": "DAQUATOR TESIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "319342",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12084675-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.