Desert Family Health Care LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

RN 114868 AP 2200 Issued in AZ

Legal business name

DESERT FAMILY HEALTH CARE LLC

Practice address

765 W Azure Dr
Camp Verde, AZ 86322-4945

Phone

(928) 451-6559

NPI assigned

Jan 31, 2007

Organization subpart

No

Name

Mrs. Laura D Hanson, M.S. F.N.P.

Title

Managing Member

Phone

(928) 451-6559

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487791083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W AZURE DR",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863224945",
            "telephone_number": "928-451-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W AZURE DR",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863224945",
            "telephone_number": "928-451-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "928-451-6559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. F.N.P."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "RN 114868 AP 2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AP LICENSE #",
            "identifier": "AP2200",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER AANP",
            "identifier": "F0805137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE #",
            "identifier": "RN 114868",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.