Prescott Valley Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PRESCOTT VALLEY CHARTER SCHOOL

Practice address

9500 E Lorna LN
Prescott Valley, AZ 86314-2324

Phone

(928) 772-8744

Fax

(602) 926-2445

NPI assigned

May 6, 2019

Last updated

May 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikki Ortega

Title

Credentialing

Phone

(800) 354-4881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1447815493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121950",
            "telephone_number": "800-354-4881",
            "fax_number": "602-926-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E LORNA LN",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142324",
            "telephone_number": "928-772-8744",
            "fax_number": "602-926-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT VALLEY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "800-354-4881"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice H Preciado, OTRL
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• Prescott Mobile Physical Therapy and Wellness LLC (Prescott Mobile Physical Therapy and Wellness)
• Prescott Quick Care LLC (Family First Convenient Care)
• Prescott Valley Accident Chiropractic Inc
• Prescott Valley Chiropractic LLC (Prescott Valley Chiropractic)
• Prescott Valley Dental Group, LLP (Prescott Valley Dental Group)
• Prescott Valley Disc and Spine Center
• Prescott Valley Endodontic Associates, PLLC
• Prescott Valley Eye Care PC

• Local Education Agency (LEA) in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.