Organization Active NPI

Clearwater Healthcare LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1013754951
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLEARWATER HEALTHCARE LLC
Practice address
7975 N Hayden Rd Ste D241
Scottsdale, AZ 85258-3278
Phone
(602) 880-0866
Fax
(410) 530-5015
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Funmilayo Oluwole, CRNP, PMHNP-BC, FNP-NPI 1780115345
Title
President
Phone
(602) 880-0866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7975 N Hayden Rd Ste D241
Scottsdale, AZ 85258-3278

Mailing address

7975 N Hayden Rd Ste D241
Scottsdale, AZ 85258-3278
Phone (602) 880-0866

Other names 1

  • Clearwater Healthcare Services PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1013754951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D241",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583278",
            "telephone_number": "602-880-0866",
            "fax_number": "410-530-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D241",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583278",
            "telephone_number": "602-880-0866",
            "fax_number": "410-530-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "OLUWOLE",
        "authorized_official_first_name": "FUNMILAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-880-0866",
        "authorized_official_credential": "CRNP, PMHNP-BC, FNP-"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearwater Healthcare Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.