Organization Active NPI

Michele M Peters FNP

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1679505812
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MICHELE M PETERS FNP
Doing business as
Prescott Neurological Clinic
Practice address
1000 Ainsworth Dr
Ste A220
Prescott, AZ 86305-1645
Phone
(928) 830-1717
Fax
(877) 835-3579
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gene Peters
Title
Business Manager
Phone
(928) 300-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1000 Ainsworth Dr
Ste A220
Prescott, AZ 86305-1645

Mailing address

1000 Ainsworth Dr
Ste A220
Prescott, AZ 86305-1645
Phone (928) 830-1717

Other names 1

  • Prescott Neurological Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

618 N Humphreys St
Flagstaff, AZ 86001
Phone (928) 774-2459

2708 N 4th St
Ste E-4
Flagstaff, AZ 86004
Phone (928) 774-2459

1000 Ainsworth Dr
Ste A220
Prescott, AZ 86305
Phone (928) 499-3770

450 W Goodwin St
Ste 102B
Prescott, AZ 86303
Phone (928) 774-2459

7875 E Florentine Rd
Ste C
Prescott Vly, AZ 86314
Phone (520) 772-6707

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1679505812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR",
            "address_2": "STE A220",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051645",
            "telephone_number": "928-830-1717",
            "fax_number": "877-835-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR",
            "address_2": "STE A220",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051645",
            "telephone_number": "928-830-1717",
            "fax_number": "877-835-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE M PETERS FNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "928-300-1388"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Neurological Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2014; 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.