Organization Active NPI

Sunrise Family Healthcare Inc

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1457916538
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SUNRISE FAMILY HEALTHCARE INC
Practice address
1944 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Phone
(928) 854-2568
NPI assigned
May 5, 2019
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Tiarra Sitzer, FNPNPI 1487150652
Title
Owner
Phone
(928) 854-2568

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
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1944 Mesquite Ave
Lake Havasu City, AZ 86403-5729

Mailing address

PO Box 115
Lake Havasu City, AZ 86405-0115
Phone (928) 854-2568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190624003462 AZ Part B Supplier - Clinic/Group Practice 6800120932 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Havasu City, AZ

National Provider Directory

National Provider Directory

Locations

1845 McCulloch Blvd N
Unit D14
Lake Havasu City, AZ 86403
Phone (928) 854-2568

1944 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 505-9729

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1457916538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864050115",
            "telephone_number": "928-854-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035729",
            "telephone_number": "928-854-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "SITZER",
        "authorized_official_first_name": "TIARRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-854-2568",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.