Organization Active NPI

Four Peaks Health Care Associates PLLC

  • Primary Care Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1720450232
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jul 25, 2023

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.