Integrative Pain Centres of Prescott

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

Legal business name

INTEGRATIVE PAIN CENTRES OF PRESCOTT

Practice address

2820 N Glassford Hill Rd Ste 101
Prescott Valley, AZ 86314-2256

Phone

(928) 910-3450

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Dorian Lange

Title

Owner

Phone

(928) 910-3450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1356076079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD STE 101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142256",
            "telephone_number": "928-910-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD STE 101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142256",
            "telephone_number": "928-910-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN CENTRES OF PRESCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-910-3450"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Hunsicker, LMT
• Mysti Huston, MSN, APRN, FNP-BC
• Rondell K Huttmann, PHARMD
• Jane Miller Hynes
• Icare Health Services LLC
• Integrative Pain Centres of Prescott
• Internal Medicine Specialists of Prescott Valley Arizona,PC
• Krista Iverson, RN
• Lauraine M Jackson, FNP-BC
• Samantha Jacobson, PSYD

• Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.