Individual provider Active NPI

Justine Winchester, NP

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1922653344
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP230365 Issued in AZ
Practice address
651 W Mingus Ave
Cottonwood, AZ 86326-4006
Phone
(928) 634-2236
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RNP230365 AZ Primary

Addresses

Primary practice location

651 W Mingus Ave
Cottonwood, AZ 86326-4006

Mailing address

651 W Mingus Ave
Cottonwood, AZ 86326-4006
Phone (928) 634-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191014002666 AZ Practitioner - Nurse Practitioner 2769713205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP230365AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Group, Inc. Single Specialty Current Accepting new patients
Spectrum Healthcare Group, Inc Family CurrentSince Aug 5, 2019 Accepting new patients
Spectrum Healthcare Group, Inc Single Specialty CurrentSince Aug 5, 2019 Accepting new patients
Spectrum Healthcare Group, Inc. Single Specialty Current Accepting new patients

Locations

651 W Mingus Ave
Cottonwood, AZ 86326
Phone (928) 203-5425

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Bldg C
Cottonwood, AZ 86326
Phone (928) 203-5400

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

3633 Crossings Dr
Prescott, AZ 86305
Phone (928) 445-2424

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1922653344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W MINGUS AVE",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264006",
            "telephone_number": "928-634-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W MINGUS AVE",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264006",
            "telephone_number": "928-634-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "JUSTINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP230365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.