Individual provider Active NPI

Lisa R. Salinas, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1356094353
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01220637 Issued in AZ
Practice address
3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone
(928) 772-2582
Fax
(877) 319-1729
NPI assigned
Jan 31, 2022
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01220637 AZ Primary

Addresses

Primary practice location

3251 N Windsong Dr
Prescott Valley, AZ 86314-1222

Mailing address

3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000599 AZ Practitioner - Nurse Practitioner 6800273871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Health ResourcesGroup PAC ID 1254327216, 28 clinicians

Practice addresses (Care Compare)

12 Hope Dr
Bagdad, AZ 86321
Phone (928) 633-6733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01220637AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Health Resources CurrentSince Jun 16, 2025 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Jan 1, 2023 Accepting new patients
Arizona Adult and Pediatric Medicine PC PastSince Jan 1, 2023 Accepting new patients

Locations

401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500

743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

Interoperability endpoints

  • Direct secure messaging: lisa.salinas.1@33093.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1356094353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "LISA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F01220637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.