Aimee Susanne Midkiff, CCG

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12778H Issued in AZ

Practice address

7859 E Las Flores Ave
Prescott Valley, AZ 86314-5540

Phone

(929) 277-0884

Fax

(928) 277-0946

NPI assigned

May 5, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1932998143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7859 E LAS FLORES AVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145540",
            "telephone_number": "929-277-0884",
            "fax_number": "928-277-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 E LAS FLORES AVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145540",
            "telephone_number": "929-277-0884",
            "fax_number": "928-277-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDKIFF",
        "first_name": "AIMEE",
        "middle_name": "SUSANNE",
        "credential": "CCG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL12778H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.