Organization Active NPI

Prescott Concierge Care PLLC

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1417824541
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRESCOTT CONCIERGE CARE PLLC
Practice address
3755 Karicio LN Ste 2-D
Prescott, AZ 86303-6836
Phone
(928) 515-3577
Fax
(928) 237-1211
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Jennifer Lynn Burton, FNP-CNPI 1255157020
Title
Provider/Owner
Phone
(928) 515-3577

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3755 Karicio LN Ste 2-D
Prescott, AZ 86303-6836

Mailing address

3755 Karicio LN Ste 2-D
Prescott, AZ 86303-6836
Phone (928) 515-3577

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2331253Prescott Concierge Care3755 Karicio LN Ste 2D, Prescott, AZ 86303Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

3755 Karicio Ln
Ste 2D
Prescott, AZ 86303
Phone (928) 515-3577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1417824541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 KARICIO LN STE 2-D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036836",
            "telephone_number": "928-515-3577",
            "fax_number": "928-237-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 KARICIO LN STE 2-D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036836",
            "telephone_number": "928-515-3577",
            "fax_number": "928-237-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT CONCIERGE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "928-515-3577",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.