Sleep Disorders Center of Prescott Valley LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SLEEP DISORDERS CENTER OF PRESCOTT VALLEY LLC

Practice address

1840 Mesquite Ave Ste B
Lake Havasu City
Lake Havasu City, AZ 86403-5771

Phone

(928) 453-9199

Fax

(928) 453-9207

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Melanie Gayle Mundell

Title

Billing Supervisor

Phone

(928) 453-9199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1326276262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3270",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053270",
            "telephone_number": "928-453-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MESQUITE AVE STE B",
            "address_2": "LAKE HAVASU CITY",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035771",
            "telephone_number": "928-453-9199",
            "fax_number": "928-453-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDERS CENTER OF PRESCOTT VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "MUNDELL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "928-453-9199"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronni M Sikes, PTA
• Kandis A Silvestri, MSED, LPC
• Simply HH&K LLC
• Tiarra Sitzer, APRN FNP-C, FNP-BC
• Kara Susan Skowera
• Sleep Resource Consulting Service LLC
• Smith Tryon Family Health Inc D.B.a. Blue Water Medical
• Elizabeth Anne Smith-Tryon, MD
• Elizabeth A Smith, COTA
• Joy L. Smith

• Specialist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.