Active NPI
Emily R Lieder, DO
- Family Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 006108
- Practice address
- 1120 W University Ave Ste 101
Flagstaff, AZ 86001-2851 - Phone
- (928) 522-1300
- Fax
- (928) 522-1301
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Multi-Specialty Clinic/Center
- Holbrook, AZ
- NPI 1306960422
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
NPD Family Medicine -
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1053587261
-
- Pediatrics Physician
- Flagstaff, AZ
- NPI 1669911764
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
450 W Paseo Redondo
Tucson, AZ 85701-8274
PO Box
Suite 3630
Flagstaff, AZ 86003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130712000372 | AZ | Practitioner - Family Practice | 7214177351 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| North Country Healthcare Inc | Past | Accepting new patients | |
| North Country Healthcare, Inc. | Past | Accepting new patients |
Locations
2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 704-1221
1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300
2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121
1120 W University Ave
Flagstaff, AZ 86001
Phone (928) 522-1300
2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100
2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899
1401 W Florida St
Holbrook, AZ 86025
Phone (928) 251-0386
2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100
1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177
2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800
2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300
488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127
300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 006108 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
NPPES NPI RegistryPrimary practice location
1120 W University Ave Ste 101
Flagstaff, AZ 86001-2851
Mailing address
PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2026.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1497070429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857021231",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W UNIVERSITY AVE STE 101",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860012851",
"telephone_number": "928-522-1300",
"fax_number": "928-522-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEDER",
"first_name": "EMILY",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "006108",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.