Organization Active NPI

Living Medicine Center for Optimal Health

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1144916826
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LIVING MEDICINE CENTER FOR OPTIMAL HEALTH
Practice address
144 Lakeside St
Prescott, AZ 86305-5010
Phone
(206) 718-4343
NPI assigned
Apr 14, 2023
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Dr. Ann McCombs, DONPI 1407029903
Title
Owner
Phone
(206) 718-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

144 Lakeside St
Prescott, AZ 86305-5010

Mailing address

144 Lakeside St
Prescott, AZ 86305-5010
Phone (206) 718-4343

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1144916826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LAKESIDE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055010",
            "telephone_number": "206-718-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LAKESIDE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055010",
            "telephone_number": "206-718-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING MEDICINE CENTER FOR OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-718-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.