Active NPI
Infinity Family Wellness
- Primary Care Clinic/Center
- Prescott, AZ
National Provider Identifier
1609346352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- INFINITY FAMILY WELLNESS
- Practice address
- 1672 Oaklawn Dr
Prescott, AZ 86305-1106 - Phone
- (928) 445-5339
- Fax
- (928) 445-3644
- NPI assigned
- Nov 26, 2018
- 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
- Dusty R Lingle
- Title
- Biller
- Phone
- (928) 445-5339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1672 Oaklawn Dr
Prescott, AZ 86305-1106
Mailing address
1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone (928) 445-5339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2160508 | Infinity Family Wellness | Certificate of waiver | Jan 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Prescott, AZ
- NPI 1619445814
-
- Family Nurse Practitioner
- Prescott, AZ
- NPI 1992116446
-
- Primary Care Nurse Practitioner
- Prescott Valley, AZ
- NPI 1659024743
-
- Pediatrics Physician
- Prescott, AZ
- NPI 1659449411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1609346352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 OAKLAWN DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051106",
"telephone_number": "928-445-5339",
"fax_number": "928-445-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 OAKLAWN DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051106",
"telephone_number": "928-445-5339",
"fax_number": "928-445-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY FAMILY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "LINGLE",
"authorized_official_first_name": "DUSTY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "928-445-5339"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.