Active NPI
Green Valley Family Care
- Family Medicine Physician
- Green Valley, AZ
National Provider Identifier
1548787294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREEN VALLEY FAMILY CARE
- Practice address
- 140 W Duval Mine Rd Ste 106
Green Valley, AZ 85614-5000 - Phone
- (520) 818-8477
- NPI assigned
- Aug 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenda Ann Wells, MD
- Title
- Owner
- Phone
- (520) 818-8477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
140 W Duval Mine Rd Ste 106
Green Valley, AZ 85614-5000
Mailing address
140 W Duval Mine Rd Ste 106
Green Valley, AZ 85614-5000
Phone (520) 818-8477
Other names 1
- Green Valley Family Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1356372023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1548787294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W DUVAL MINE RD STE 106",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145000",
"telephone_number": "520-818-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W DUVAL MINE RD STE 106",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145000",
"telephone_number": "520-818-8477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN VALLEY FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-818-8477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Green Valley Family Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.