Active NPI
Deanna Kaye Price, MD
- Internal Medicine Physician
- Prescott, AZ
National Provider Identifier
1770678120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50912
- Practice address
- 1050 Gail Gardner Way Ste 100
Prescott, AZ 86305-1631 - Phone
- (928) 777-0700
- Fax
- (928) 445-4464
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A63779 | CA | |
| Internal Medicine Physician | 207R00000X | 50912 | AZ | Primary |
Addresses
Primary practice location
1050 Gail Gardner Way Ste 100
Prescott, AZ 86305-1631
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5987
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A63779 | Other | CA | HMO |
| 50912 | Other | AZ | ARIZONA MEDICAL BOARD |
| 00A637790 | Other | CA | BLUESHIELD |
| A63779 | Other | CA | PPO/COMM |
| A63779 | Other | CA | BLUECROSS |
| 044021 | Medicaid | AZ | |
| 952585978 | Other | CA | CHAMPUS |
Other names 1
- Deanna Kaye Price
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dprice@yrmc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 15, 2024 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63779 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- deanna.k.price@direct.yrmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1770678120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "928-759-5987",
"fax_number": "928-458-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 GAIL GARDNER WAY STE 100",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051631",
"telephone_number": "928-777-0700",
"fax_number": "928-445-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DEANNA",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A63779",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "50912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "A63779",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL BOARD",
"identifier": "50912",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "00A637790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO/COMM",
"identifier": "A63779",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "A63779",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044021",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "952585978",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dprice@yrmc.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1000 Willow Creek Rd Ste B",
"city": "Prescott",
"state": "AZ",
"country_code": "US",
"postal_code": "863011645",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "PRICE",
"middle_name": "KAYE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Prescott, AZ
- Prescott Vamc
- Prescott Village Nursing & Rehabilitation LLC
- Prescott Whipple Stage (Prescott Transit)
- Prescott Yang PLLC (True North Dentistry)
- Pretium Care LLC (Right at Home of N. Arizona)
- Mackenzie Caitlin Price, PA-C
- Laura Priest, LMSW
- Priola Primary Palliative and Hospice Care, PLLC
- Priority Family Medical Clinic LLC
- Priority Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.