Yavapai Healthcare Group LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YAVAPAI HEALTHCARE GROUP LLC

Practice address

999 Division Street
Prescott, AZ 86301

Phone

(928) 777-9600

Fax

(928) 777-9797

NPI assigned

Oct 4, 2017

Last updated

Oct 4, 2017By 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

Michael O'Neil

Title

Sole MBR/Ceo

Phone

(631) 352-0650

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sahana Choudhury, NP-C

  • Nurse Practitioner
  • Commack, NY
  • NPI 1356821292
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1619487675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VANDERBILT MOTOR PKWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-352-0650",
            "fax_number": "631-343-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 DIVISION STREET",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-777-9600",
            "fax_number": "928-777-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MBR/CEO",
        "authorized_official_telephone_number": "631-352-0650"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yavapai Care Services, LLC (Helping Hands In Home Care)
• Yavapai Community Hospital Association (Yavapai Regional Medical Center General Surgery)
• Yavapai Community Hospital Association (Yavapai Regional Medical Center)
• Yavapai County Community Health Services
• Yavapai County Community Health Services
• Yavapai Orthopaedics, PLLC
• Yavapai Pathology Associates PLC
• Yavapai Regional Medical Center
• Yavapai Regional Medical Center Physician Care
• Yavapai Regional Medical Center Physician Care LLC

• Family Nurse Practitioner in Prescott, AZ
• Providers in Prescott, 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 Oct 4, 2017; 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.