ER Village Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ER VILLAGE CLINIC

Practice address

56 W Cortez Dr
Sedona, AZ 86351-9087

Phone

(602) 821-1339

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Leigh Real, FNP-CNPI 1790562809

Title

Vice Presdient

Phone

(928) 800-2434

Specialties & licenses 2

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.

• Tracy Leigh Real, FNP-C

  • Family Nurse Practitioner
  • Sedona, AZ
  • NPI 1790562809
  NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1205695962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W CORTEZ DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519087",
            "telephone_number": "602-821-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W CORTEZ DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519087",
            "telephone_number": "602-821-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER VILLAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "REAL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESDIENT",
        "authorized_official_telephone_number": "928-800-2434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Lynn Emmerich, LMSW
• Kenneth Andrii Ervin-Beckford
• Eye Boutique of Sedona, PLLC
• Fab-Motion LLC
• Jeffrey Farnham, DC
• Farshid Paydar MD PC (The Eye Clinic)

• Rural Health Clinic/Center in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Rural Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.