Waara Family Medicine, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36449 Issued in AZ

Legal business name

WAARA FAMILY MEDICINE, LLC

Practice address

1672 Oaklawn Dr
Prescott, AZ 86305-1106

Phone

(928) 445-5339

Fax

(928) 445-3664

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lee Slocum Waara, M.D.

Title

Ceo

Phone

(928) 445-5339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1376742205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAARA FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "SLOCUM WAARA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-445-5339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "36449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Diagnostics, LLC
• Vitality Care Center PLLC
• Victoria Truong Vo, MD
• Robert Volpicelli
• Stephanie M. Voss, SPEECH THERAPIST
• James H Waara, PHARM D
• Jennifer Slocum Waara, MD
• Leon Leslie Wachtel, DDS
• Sheri L Wages Cornell, PA-C
• Wagner & Associates PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.