Citizens Integrated Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CITIZENS INTEGRATED FAMILY PRACTICE LLC

Doing business as

Citizens Family Practice

Practice address

288 N Ironwood Dr Ste 112
Apache Junction, AZ 85120-3830

Phone

(515) 867-1918

NPI assigned

Sep 27, 2021

Last updated

Oct 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noah Kipkorir Sang, AGACNP, FNPNPI 1457839896

Title

Administrator

Phone

(480) 406-1132

Specialties & licenses 1

Addresses

Other names 1

• CITIZENS FAMILY PRACTICE Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Noah Kipkorir Sang, AGACNP, FNP

  • Family Nurse Practitioner
  • Apache Junction, AZ
  • NPI 1457839896

  Single Specialty

  Medicare reassignment NPD Authorized official
• Deana Dawn O'Gorman, FNP-BC

  • Family Nurse Practitioner
  • Dubuque, IA
  • NPI 1962668228

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1285305417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E WILLIAMS FIELD RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N IRONWOOD DR STE 112",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203830",
            "telephone_number": "515-867-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS INTEGRATED FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SANG",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "KIPKORIR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-406-1132",
        "authorized_official_credential": "AGACNP, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITIZENS FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Chiavini
• Arthur Y Chou, M.D.
• Kayla Christensen
• Shanda Katherine Ciganick
• Cigna Health Care of Arizona Inc (EVERNORTH Care Group Apache Junction Health Center)
• Dessa Clark
• Sabra Clark, PHARMD
• William E Clement, DC
• Alyxandra Lee Colbert, MOTR/L
• Jessica T-J Cole, COTA

• Primary Care Clinic/Center in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.