Individual provider Active NPI

Timothy Lee McGhee, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1982127643
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10407 Issued in AZ
Practice address
5372 N Long Rifle Rd
Prescott Valley, AZ 86314-4215
Phone
(623) 666-3743
Fax
(928) 227-4110
NPI assigned
Jul 24, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10407 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

5372 N Long Rifle Rd
Prescott Valley, AZ 86314-4215

Mailing address

5372 N Long Rifle Rd
Prescott Valley, AZ 86314-4215
Phone (623) 666-3743

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2022.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1982127643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 N LONG RIFLE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863144215",
            "telephone_number": "623-666-3743",
            "fax_number": "928-227-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 N LONG RIFLE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863144215",
            "telephone_number": "623-666-3743",
            "fax_number": "928-227-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.