Verde Valley Concierge Medicine PLLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

VERDE VALLEY CONCIERGE MEDICINE PLLC

Practice address

203 S Candy LN Ste 1a
Cottonwood, AZ 86326-8104

Phone

(928) 852-4540

Fax

(877) 832-2119

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Jason Keable, AGACNP-BCNPI 1942669890

Title

Member/Provider

Phone

(928) 852-4540

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.

• Jason Roy Keable, ARNP

  • Acute Care Nurse Practitioner
  • Cottonwood, AZ
  • NPI 1942669890
  NPD (past) Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1750974960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 1A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863268104",
            "telephone_number": "928-852-4540",
            "fax_number": "877-832-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 1A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863268104",
            "telephone_number": "928-852-4540",
            "fax_number": "877-832-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY CONCIERGE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KEABLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER/PROVIDER",
        "authorized_official_telephone_number": "928-852-4540",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew H Vejnoska, CRNA
• Verde Community Healthcare LLC
• Verde Mobile Hearing Solutions, LLC
• Verde Valley Ambulance Co Inc
• Verde Valley Community Hospice, LLC
• Verde Valley Connection Primary Care PLC
• Verde Valley Fire District
• Verde Valley Foot and Ankle Center, LLC
• Verde Valley Functional Wellness Center & Medicinal Apothecary PLLC
• Verde Valley Heart Center

• Acute Care Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.