Active NPI
Intimate Health Telemedicine LLC
Doing business as Show Low Family Clinic
- Family Nurse Practitioner
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Kaye Zell, NP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2295044 | Show Low Family Clinic (Dba) | Certificate of waiver | Dec 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Show Low, AZ
- NPI 1336683796
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.