Desert Streams Family Practice PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

DESERT STREAMS FAMILY PRACTICE PLLC

Practice address

3123 Highway 83
Suite B
Sonoita, AZ 85637

Phone

(520) 224-3401

Fax

(520) 226-8634

NPI assigned

Feb 6, 2019

Last updated

Feb 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

Cynthia G Smith, FNP

Title

Owner/Provider

Phone

(520) 224-3401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1497210165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370874",
            "telephone_number": "520-224-3401",
            "fax_number": "520-226-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 HIGHWAY 83",
            "address_2": "SUITE B",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "85637",
            "telephone_number": "520-224-3401",
            "fax_number": "520-226-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT STREAMS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "520-224-3401",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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