Individual provider Active NPI

Mindy Diehl, FNP-C

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1174270193
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
271716 Issued in AZ
Practice address
699 N 10TH St
Cottonwood, AZ 86326-3712
Phone
(928) 852-5550
NPI assigned
Mar 9, 2022
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 271716 AZ Primary

Addresses

Primary practice location

699 N 10TH St
Cottonwood, AZ 86326-3712

Mailing address

699 N 10TH St
Cottonwood, AZ 86326-3712
Phone (928) 852-5550

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
I20220330002565 AZ Practitioner - Nurse Practitioner 6507252509 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Canyon Family Health Center CurrentSince Mar 14, 2022 Accepting new patients

Locations

348 S Main St
Camp Verde, AZ 86322
Phone (928) 567-4846

348 S Main St
Ste 1A
Camp Verde, AZ 86322
Phone (928) 649-6477

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1174270193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 N 10TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263712",
            "telephone_number": "928-852-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 N 10TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263712",
            "telephone_number": "928-852-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "MINDY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.