Sunrise Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SUNRISE WELLNESS

Practice address

18 E Beech St
Cottonwood, AZ 86326-4134

Phone

(928) 634-0391

Fax

(928) 634-6145

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Vicki Taylor

Title

Administrator

Phone

(602) 550-1089

Specialties & licenses 1

Addresses

Other names 1

• Julie Lucille Moncibaez DNP Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Lucille Moncibaez, DNP

  • Family Nurse Practitioner
  • Cottonwood, AZ
  • NPI 1508447913
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1508614348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E BEECH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264134",
            "telephone_number": "928-634-0391",
            "fax_number": "928-634-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E BEECH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264134",
            "telephone_number": "928-634-0391",
            "fax_number": "928-634-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-550-1089"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie Lucille Moncibaez DNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Stevens, CRNA
• Andrea L Stone Shayer, MD
• Lisa Strait
• Connie Strouse
• Julie Marie Sturgeon, FNP-C
• Sunteleo LLC
• Naman Suroya, M.D.
• Susan Albright PLC
• Mary F. Sutter, MD
• Robin Swanigan, DPT

• Family Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, 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 May 7, 2024; 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.