Organization Active NPI

Intimate Health Telemedicine LLC

Doing business as Show Low Family Clinic

  • Family Nurse Practitioner
  • Show Low, AZ
National Provider Identifier
1821759630
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTIMATE HEALTH TELEMEDICINE LLC
Doing business as
Show Low Family Clinic
Practice address
1500 S White Mountain Rd Ste 401B
Show Low, AZ 85901-7117
Phone
(928) 251-2914
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Ms. Sharon Kaye Zell, NP-CNPI 1336683796
Title
Owner/Operator Nurse Practitioner
Phone
(425) 244-4303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1500 S White Mountain Rd Ste 401B
Show Low, AZ 85901-7117

Mailing address

1500 S White Mountain Rd Ste 401B
Show Low, AZ 85901-7117
Phone (928) 251-2914

Other names 1

  • Show Low Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240304002114 AZ Part B Supplier - Clinic/Group Practice 8224408455 Receives reassigned benefits from 1 practitioner
Practice locations: Show Low, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2295044Show Low Family Clinic (Dba)1500 S White Mountain Rd Ste 401B, Show Low, AZ 85901Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

1500 S White Mountain Rd
Ste 401B
Show Low, AZ 85901
Phone (928) 251-2914

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1821759630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD STE 401B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017117",
            "telephone_number": "928-251-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD STE 401B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017117",
            "telephone_number": "928-251-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMATE HEALTH TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "ZELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER/OPERATOR NURSE PRACTITIONER",
        "authorized_official_telephone_number": "425-244-4303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Show Low Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.