Infinia at Flagstaff

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-340 Issued in AZ

Legal business name

INFINIA AT FLAGSTAFF

Practice address

800 W University Ave
Flagstaff, AZ 86001-7103

Phone

(928) 779-6931

Fax

(928) 779-2180

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Scott Robertson

Title

Owner

Phone

(801) 295-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447256078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W UNIVERSITY AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017103",
            "telephone_number": "928-779-6931",
            "fax_number": "928-779-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W UNIVERSITY AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017103",
            "telephone_number": "928-779-6931",
            "fax_number": "928-779-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIA AT FLAGSTAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-295-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Marie Iacona, SPT
• Victoria Ignace-Todd, DPT
• Julie Marie Ignace, FNP-C
• Mary Iles, MD, MPH
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• Michele J Inge, FNP
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• Skilled Nursing Facility in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.