Organization Active NPI

Flagstaff First Assist, PLLC

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1245525914
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8050 Issued in AZ
Legal business name
FLAGSTAFF FIRST ASSIST, PLLC
Practice address
2050 E Chisholm TRL
Flagstaff, AZ 86001-9328
Phone
(928) 714-9379
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Jackie M Kypta, NP, RNFANPI 1639461445
Title
President
Phone
(928) 714-9379

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP8050 AZ Primary

Addresses

Primary practice location

2050 E Chisholm TRL
Flagstaff, AZ 86001-9328

Mailing address

2050 E Chisholm TRL
Flagstaff, AZ 86001-9328
Phone (928) 714-9379

Other identifiers 2

IdentifierTypeStateIssuer
Z180806OtherAZMEDICARE
RN105443OtherAZRNFA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1245525914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E CHISHOLM TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019328",
            "telephone_number": "928-714-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E CHISHOLM TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019328",
            "telephone_number": "928-714-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF FIRST ASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "KYPTA",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-714-9379",
        "authorized_official_credential": "NP, RNFA"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z180806",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNFA",
            "identifier": "RN105443",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.