Community Care Partners, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

COMMUNITY CARE PARTNERS, LLC

Practice address

12035 N Saguaro Blvd
Ste 203
Fountain Hills, AZ 85268

Phone

(623) 256-3986

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Kelli L Casady

Title

Member

Phone

(480) 462-2950

Specialties & licenses 2

Addresses

Other names 1

• In Motion Medical Doing business as

Locations

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1154856474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 N SAGUARO BLVD",
            "address_2": "STE 203",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684647",
            "telephone_number": "480-462-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 N SAGUARO BLVD",
            "address_2": "STE 203",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "85268",
            "telephone_number": "623-256-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "CASADY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-462-2950"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Motion Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Maria Clayborne, MS, ED.S
• Jacqueline M Cochran, SLP-CCC
• Stephanie Virginia Cochran
• Angela Cole
• Gerald Joseph Comeau, RPH
• Megan Conley, ED.S., NCSP
• Debra Coons
• Keith M. Cooper, D.D.S.
• Pamela Joy Cooper, MA-CCC-SLP
• Nadine Coppola, PT

• Adult Medicine Physician in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Adult Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.