Ayotte Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AYOTTE MEDICAL LLC

Practice address

885 S Peach LN
Camp Verde, AZ 86322-7126

Phone

(928) 300-8033

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Ayotte

Title

Ceo

Phone

(928) 300-8033

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27405/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664582400000",
    "number": "1457074411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 S PEACH LN",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S PEACH LN",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227126",
            "telephone_number": "928-300-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYOTTE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "AYOTTE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-300-8033"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Christine Adkison
• Douglas George Akovenko, RPH
• John Allen
• Arizona CVS Stores LLC
• Marjorie Ayala, PTA
• Kelly Michaud Ayotte, FNP-C
• Mary Maureen Bassous, PT
• Haleh Bazargan, DDS
• Bingham Dental Services LLC
• Blue Heron Physical Therapy PC

• Family Nurse Practitioner in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.