Yavapai Family Medical PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YAVAPAI FAMILY MEDICAL PLLC

Practice address

7750 E Florentine Rd Ste a
Prescott Valley, AZ 86314-2245

Phone

(928) 277-1211

Fax

(928) 277-1239

NPI assigned

May 24, 2022

Last updated

Oct 27, 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

Louella Bauman, NPNPI 1699166199

Title

Owner

Phone

(928) 277-1211

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26248/brand/1/csg/1/fhir/r4
• Direct secure messaging: yfm@yavmedical.com

Practitioners 5

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.

• Louella Bauman, FNP-BC

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1699166199
  Medicare reassignment NPD Authorized official
• Kasandra Bujold, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1790567105
  Medicare reassignment NPD
• Danielle Marie Durnan, FNP-C

  • Family Nurse Practitioner
  • Dewey, AZ
  • NPI 1306181656
  Medicare reassignment NPD
• Cacie Lee Goetz-Campos, MSN, FNP-C

  • Nurse Practitioner
  • Prescott, AZ
  • NPI 1700537321

  Family

  Medicare reassignment NPD
• Brianna Nicole Sease, FNP BC

  • Family Medicine Physician
  • Prescott Valley, AZ
  • NPI 1174337828
  Medicare reassignment NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1326786906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 E FLORENTINE RD STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142245",
            "telephone_number": "928-277-1211",
            "fax_number": "928-277-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E FLORENTINE RD STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142245",
            "telephone_number": "928-277-1211",
            "fax_number": "928-277-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "LOUELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-277-1211",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "louella@yavmedical.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7750 E Florentine Rd Ste A",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863142245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yfm@yavmedical.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "7750 E Florentine Rd Ste A",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863142245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yavapai Chiropractic Associates, PLLC
• Yavapai Community Hospital Association (Yavapai Regional Medical Center)
• Yavapai County
• Yavapai Eye Associates PC
• Yavapai Eye Care LLC
• Yavapai Hearing Aid Center
• Yavapai Medical Billing, Coding & Loans (Yavapai Medical Billing)
• Yavapai Optical LLC
• Yavapai Oral and Facial Surgery PLLC
• Yavapai Primary Care

• Family Nurse Practitioner in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.