Active NPI
Four Peaks Health Care Associates PLLC
- Primary Care Clinic/Center
- Flagstaff, AZ
National Provider Identifier
1720450232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FOUR PEAKS HEALTH CARE ASSOCIATES PLLC
- Practice address
- 1515 E Cedar Ave Ste C-1
Flagstaff, AZ 86004-1637 - Phone
- (928) 773-9714
- Fax
- (877) 461-0613
- NPI assigned
- Oct 22, 2015
- 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
- Theresa Dowell, FNP
- Title
- Medical Director
- Phone
- (928) 773-9714
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1515 E Cedar Ave Ste C-1
Flagstaff, AZ 86004-1637
Mailing address
906 W Parker Dr
Flagstaff, AZ 86005-8517
Other practice location 1
2841 Cleveland Ave
Santa Rosa, CA 95403-6802
Phone (928) 773-9714 ext. 111
National Provider Directory
National Provider DirectoryLocations
930 N Switzer Canyon Dr
Ste 102B
Flagstaff, AZ 86001
Phone (928) 600-4131
2841 Cleveland Ave
Santa Rosa, CA 95403
Phone 9287739714 ext. 111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hand Occupational Therapist
- Flagstaff, AZ
- NPI 1225341118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1720450232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W PARKER DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860058517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E CEDAR AVE STE C-1",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041637",
"telephone_number": "928-773-9714",
"fax_number": "877-461-0613"
}
],
"practiceLocations": [
{
"address_1": "2841 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954036802",
"country_code": "US",
"telephone_number": "928-773-9714 x111",
"fax_number": "877-461-0613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOUR PEAKS HEALTH CARE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-22",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "DOWELL",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "928-773-9714",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.