Sonora Family Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3956 Issued in AZ

Legal business name

SONORA FAMILY CARE

Practice address

4996 E Mediterranean Dr Ste D
Sierra Vista, AZ 85635-2434

Phone

(520) 335-6271

Fax

(520) 335-6316

NPI assigned

Jan 12, 2012

Last updated

Jul 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirsten Wister, FNP-BC, ACNP-BCNPI 1609809052

Title

Owner

Phone

(520) 335-6271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirsten Elizabeth Wister, FNP-BC, ACNP-BC

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1609809052
  NPD Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1083984694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4996 E MEDITERRANEAN DR STE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352434",
            "telephone_number": "520-335-6271",
            "fax_number": "520-335-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4996 E MEDITERRANEAN DR STE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352434",
            "telephone_number": "520-335-6271",
            "fax_number": "520-335-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "WISTER",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-335-6271",
        "authorized_official_credential": "FNP-BC, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven John Smith, D.D.S.
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Jane Alice Sobel, RDH, APDH
• Brittany Nichole Soch, DNP
• Sonography Solutions LLC
• Jorge Luis Soto, DDS
• Sound Physicians Emergency Medicine of Arizona, Inc.
• Southeast Arizona Urology Care
• Southeastern Arizona Behavioral Health Services Inc (Seabhs)
• Southeastern Arizona Behavioral Health Services, Inc. (Casa De Esperanza BH Residential Facility)

• Family Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.