Active NPI
NP Fromhome, LLC
- Family Nurse Practitioner
- Flagstaff, AZ
National Provider Identifier
1376911925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN038576
- Legal business name
- NP FROMHOME, LLC
- Practice address
- 1016 W. University Ave
Suite 206
Flagstaff, AZ 86011 - Phone
- (928) 814-8011
- Fax
- (888) 877-4669
- NPI assigned
- Sep 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Golden, DNP, FNP-C
- Title
- Family Nurse Practitioner
- Phone
- (928) 814-8011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN038576 | AZ | Primary |
Addresses
Primary practice location
1016 W. University Ave
Suite 206
Flagstaff, AZ 86011
Mailing address
PO Box 25959
Munds Park, AZ 86017-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558132 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Munds Park, AZ
- NPI 1952310823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441929600000",
"number": "1376911925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25959",
"city": "MUNDS PARK",
"state": "AZ",
"postal_code": "860175959",
"fax_number": "888-877-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 W. UNIVERSITY AVE",
"address_2": "SUITE 206",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86011",
"telephone_number": "928-814-8011",
"fax_number": "888-877-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NP FROMHOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A",
"authorized_official_last_name": "GOLDEN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "928-814-8011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN038576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558132",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.