Active NPI
Flagstaff First Assist, PLLC
- Family Nurse Practitioner
- Flagstaff, AZ
National Provider Identifier
1245525914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8050
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie M Kypta, NP, RNFA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z180806 | Other | AZ | MEDICARE |
| RN105443 | Other | AZ | RNFA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Registered Nurse First Assistant
- Flagstaff, AZ
- NPI 1639461445
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
- Flagstaff Emergency Physicians
- Flagstaff Endodontics
- Flagstaff Eye Care PLLC
- Flagstaff Family Dental Center PLLC
- Flagstaff Family Physicians PC (Optum Primary Care)
- Flagstaff Foot and Ankle Specialists PC
- Flagstaff Integrated Therapies LLC
- Flagstaff Intensive Care Specialists, PLLC
- Flagstaff Internal Medicine PC
- Flagstaff Medical Center (Guardian Air)
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.