Mesquite Medical Services, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP 4146 Issued in AZ

Legal business name

MESQUITE MEDICAL SERVICES, PLLC

Practice address

77 E Fry Blvd
Sierra Vista, AZ 85635-1813

Phone

(520) 459-8915

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By 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

Mr. Frederick Eugene Powers Jr., MSN/MBA/HCM, FNP

Title

Owner

Phone

(520) 234-6176

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1578842209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 W YUCCA SPRINGS TRL",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856168308",
            "telephone_number": "520-234-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351813",
            "telephone_number": "520-459-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-234-6176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSN/MBA/HCM, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP 4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Joy Merrell, FNP
• Deanna Lee Merrill, RN, CNP
• Mesa Verde Counseling Inc
• Mesa Verde Counseling Inc
• Ana Sofia Mesa, MD
• Amanda Joy Meyer, DO
• Brian Alan Michaels, O.D.
• Dolores May Miller
• Mardell Miller, LMT
• Dixie Jean Millican, FNP

• Family Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Aug 11, 2011; 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.