David Seiter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP7390 Issued in AZ

Practice address

5512 E Main St Ste a
Farmington, NM 87402-4421

Phone

(505) 787-2515

Fax

(505) 787-2563

NPI assigned

Oct 23, 2014

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Arizona LLCGroup PAC ID 9830181361, 26 clinicians

Epiphany Dermatology of New Mexico, LLCGroup PAC ID 4082919691, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidseiter@epiphanyderm.emadirect.md
• FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epiphany Dermatology of New Mexico, LLC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1447615760
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of Arizona, LLC

  • Dermatology Physician
  • Peoria, AZ
  • NPI 1457465858
  Medicare reassignment Care Compare group NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144764432
  Medicare reassignment NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023828431
  NPD
• Good Health Medical, PLLC

  dba My Dr Now

  • Family Medicine Physician
  • San Tan Valley, AZ
  • NPI 1063573079
  NPD
• Dermatology Consultants of Albuquerque PC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1912990151
  NPD (past)
• Livn, P.C.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1245759307
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1891190567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-759-8932",
            "fax_number": "512-233-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E MAIN ST STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024421",
            "telephone_number": "505-787-2515",
            "fax_number": "505-787-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Eubank Blvd NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871111519",
            "country_code": "US",
            "telephone_number": "505-880-1920",
            "fax_number": "505-200-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Grande Blvd SE Ste 106",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241751",
            "country_code": "US",
            "telephone_number": "505-545-6741",
            "fax_number": "575-291-1971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8316 Kaseman Ct NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107639",
            "country_code": "US",
            "telephone_number": "505-292-5850",
            "fax_number": "505-292-9724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7767 W Deer Valley Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822103",
            "country_code": "US",
            "telephone_number": "623-487-3003",
            "fax_number": "623-487-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10750 W McDowell Rd Ste D400",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925966",
            "country_code": "US",
            "telephone_number": "623-487-3003",
            "fax_number": "623-487-0954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITER",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Walter Scott, M.D.
• Diane W Searle, RNSFA
• Second Chance Counseling, LLC
• Seek & Find Balance Behavioral Health LLC
• Stanton Roach Seewald, DDS
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc
• Candice Selgado, PA-C
• Ian Sellers, DMD
• Sonsee'Rae Dolores Sells, MA, LMHC, PLMHP

• Family Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
• 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.