Individual provider Active NPI

Emily E Vona, FNP-C

  • Addiction Medicine (Family Medicine) Physician
  • Lake Havasu City, AZ
National Provider Identifier
1386047850
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
223620 Issued in AZ
Practice address
84 Acoma Blvd N Ste 104
Lake Havasu City, AZ 86403
Phone
(928) 733-5101
NPI assigned
Sep 29, 2014
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223620 AZ
Addiction Medicine (Family Medicine) Physician 207QA0401X 223620 AZ Primary

Addresses

Primary practice location

84 Acoma Blvd N Ste 104
Lake Havasu City, AZ 86403

Mailing address

84 Acoma Blvd N Ste 104
Lake Havasu City, AZ 86403-6096
Phone (330) 354-2320

Other practice location 1

3239 State Rd
Cuyahoga Falls, OH 44223-2549
Phone (330) 923-4500

Other practice location 2

84 Acoma Blvd N Ste 104
Lake Havasu City, AZ 86403
Phone (928) 733-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170724001944 MI Practitioner - Nurse Practitioner 5991028276 Reassigns benefits to 3 organizations
I20190719000710 AZ Practitioner - Nurse Practitioner 5991028276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Recovery Center IncGroup PAC ID 6305172917, 2 clinicians

Practice addresses (Care Compare)

84 Acoma Blvd N
Suite 104
Lake Havasu City, AZ 86403-6096
Phone (928) 733-5101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223620AZMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Kitzmiller M.D. PC Addiction Medicine CurrentSince Oct 1, 2017 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Jul 1, 2017 Accepting new patients
Arizona Recovery Center, Inc Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC CurrentSince Nov 6, 2022 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Jul 1, 2017 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Aug 1, 2017 Accepting new patients
First Choice Urgent Care PC PastSince Jul 1, 2017 Accepting new patients

Locations

84 Acoma Blvd N
Ste 104
Lk Havasu Cty, AZ 86403
Phone (928) 733-5101

1455 S Lapeer Rd
Ste 200
Lake Orion, MI 48360
Phone (248) 693-1986

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

Organizations & group practices 7

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1386047850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ACOMA BLVD N STE 104",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036096",
            "telephone_number": "330-354-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ACOMA BLVD N STE 104",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-733-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3239 State Rd",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442232549",
            "country_code": "US",
            "telephone_number": "330-923-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Acoma Blvd N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "86403",
            "country_code": "US",
            "telephone_number": "928-733-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONA",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223620",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "223620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.