Active NPI
Landon Keith Stribe, PA
- Physician Assistant
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4911
- Practice address
- 1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614 - Phone
- (928) 445-6025
- Fax
- (928) 778-3026
- NPI assigned
- Aug 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4911 | AZ | Primary |
Addresses
Primary practice location
1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649699 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 Willow Creek Rd
Prescott, AZ 86301-1641
3120 Clearwater Dr
Prescott, AZ 86305-7131
Phone (928) 771-3704
Hospital & facility affiliations
- Yavapai Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4911 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients |
Locations
726 Gail Gardner Way
Ste B
Prescott, AZ 86305
Phone (520) 455-4100
811 Ainsworth Dr
Ste 106
Prescott, AZ 86301
Phone (928) 771-5252
1001 Willow Creek Rd
Ste 2200
Prescott, AZ 86301
Phone (928) 445-6025
802 Ainsworth Dr
Ste A
Prescott, AZ 86301
Phone (928) 445-6025
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
Interoperability endpoints
- landon.k.stribe@direct.yrmc.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1255582003
-
- Surgery Physician
- Scottsdale, AZ
- NPI 1801092564
-
- Prosthetic/Orthotic Supplier
- Peoria, AZ
- NPI 1386456762
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1528394830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1598046070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WILLOW CREEK RD STE 2200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011614",
"telephone_number": "928-445-6025",
"fax_number": "928-778-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRIBE",
"first_name": "LANDON",
"middle_name": "KEITH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-29",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649699",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.