Organization Active NPI

Susan Albright PLC

Doing business as Optum Primary Care

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1851478333
Registry record updated Sep 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2130 Issued in AZ
Legal business name
SUSAN ALBRIGHT PLC
Doing business as
Optum Primary Care
Practice address
203 S Candy LN
Suite 1a
Cottonwood, AZ 86326-4120
Phone
(928) 649-1389
Fax
(928) 634-5314
NPI assigned
Nov 1, 2006
Last updated
Sep 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2023

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

Authorized official

Name
Ms. Emily Castillo
Title
Regional Manager
Phone
(702) 480-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP2130 AZ Primary

Addresses

Primary practice location

203 S Candy LN
Suite 1a
Cottonwood, AZ 86326-4120

Mailing address

203 S Candy LN
Suite 13a
Cottonwood, AZ 86326-4120
Phone (928) 649-1389

Other names 1

  • Optum Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

203 S Candy Ln
Ste 4A
Cottonwood, AZ 86326
Phone (928) 649-1389

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693612800000",
    "number": "1851478333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN",
            "address_2": "SUITE 13A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-649-1389",
            "fax_number": "928-634-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN",
            "address_2": "SUITE 1A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-649-1389",
            "fax_number": "928-634-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ALBRIGHT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "702-480-2550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.