Neuropathy and Pain Centre of Prescott LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

AP3075 Issued in AZ

Legal business name

NEUROPATHY AND PAIN CENTRE OF PRESCOTT LLC

Doing business as

Energie Health

Practice address

1000 Willow Creek Rd
Suite D
Prescott, AZ 86301-1645

Phone

(928) 458-7343

Fax

(928) 257-4422

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Susan Moore

Title

Owner

Phone

(928) 458-7343

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Energie Health Doing business as

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1528402039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WILLOW CREEK RD",
            "address_2": "SUITE D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011645",
            "telephone_number": "928-458-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILLOW CREEK RD",
            "address_2": "SUITE D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011645",
            "telephone_number": "928-458-7343",
            "fax_number": "928-257-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY AND PAIN CENTRE OF PRESCOTT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-458-7343"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "AP3075",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energie Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Gary Nelson, LPC
• Wendy E Nelson
• Susan Gayle Nesbit, OTR/L
• Larayne Annette Ness, ARNP
• Network Wellness Center of Prescott
• Neuropsychology Associates P C
• Neuropsychology Associates PC
• Neuropsychology Associates, PC
• New Freedom Recovery House, LLC.
• New Life Chiropractic, LTD.

• Internal Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.