Active NPI
Phyllis Arellanes, LMT
- Specialist
- Prescott Valley, AZ
National Provider Identifier
1417364266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT-02832P
- Practice address
- 7426 E Horseshoe LN
#B
Prescott Valley, AZ 86314-3297 - Phone
- (928) 848-6490
- NPI assigned
- Jul 14, 2014
- Last updated
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT-02832P | AZ | Primary |
Addresses
Primary practice location
7426 E Horseshoe LN
#B
Prescott Valley, AZ 86314-3297
Mailing address
PO Box 26731
Prescott Valley, AZ 86312-6731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-02832P | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1417364266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26731",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863126731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7426 E HORSESHOE LN",
"address_2": "#B",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863143297",
"telephone_number": "928-848-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANES",
"first_name": "PHYLLIS",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "MT-02832P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Theresa A Antone, OPTICIAN
- Denise N Antonio
- Klaus P Appel, DO
- Guillermo Aquino, R.T.(T)
- Jalili Arabi, PMHNP
- Arizona Behavioral Counseling and Education Inc
- Arizona Center for Couples and Families, LLC (Prescott Integrated Counseling and Wellness)
- Arizona CVS Stores, L.L.C. (CVS Pharmacy #05983)
- Arizona Grand Medical Center PLLC
- Arizona Heart Institute Prescott Valley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.