Active NPI
Superstition Family Medicine, LLC
- Primary Care Clinic/Center
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SUPERSTITION FAMILY MEDICINE, LLC
- Practice address
- 1910 S Stapley Dr
Mesa, AZ 85204-6674 - Phone
- (480) 857-3187
- Fax
- (480) 857-3467
- NPI assigned
- Dec 29, 2021
- 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
- Dr. Jolene Thweatt, APRN
- Title
- Family Nurse Practitioner
- Phone
- (480) 857-3187
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1910 S Stapley Dr
Mesa, AZ 85204-6674
Mailing address
1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone (480) 857-3187
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2263527 | Superstition Family Medicine, LLC | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
604 W Warner Rd
Ste D
Chandler, AZ 85225
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.
-
- Family Nurse Practitioner
- Mesa, AZ
- NPI 1215696836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1295495422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 S STAPLEY DR STE 120",
"city": "MESA",
"state": "AZ",
"postal_code": "852046676",
"telephone_number": "480-857-3187",
"fax_number": "480-857-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 S STAPLEY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852046674",
"telephone_number": "480-857-3187",
"fax_number": "480-857-3467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERSTITION FAMILY MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "THWEATT",
"authorized_official_first_name": "JOLENE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "480-857-3187",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Sunstate Rehab PLLC
- Sunwest Dental Center (Sunwest Dental)
- Emily Sunwoo, DDS
- Superior Sustenance, LLC (Superior Sustenance)
- Superstition Dental Group, LLP (Superstition Dental Group)
- Superstition Springs Counseling Services of Arizona
- Superstition Springs Endodontics, LLP
- Superstition Wellness Center PLLC
- Supervised Seniors, LLC
- Supervista North America (brillen.com #024131)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.