DESERT STREAMS FAMILY PRACTICE PLLC (NPI# 1497210165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497210165 |
| Entity Type | Organization |
| Organization Name | DESERT STREAMS FAMILY PRACTICE PLLC |
| Practice Address |
3123 Highway 83 Suite B Sonoita AZ 85637 |
| Mailing Address |
Po Box 874 Sonoita AZ 85637-0874 |
| Practice Telephone | 5202243401 |
| Practice Fax Number | 5202268634 |
| Mailing Telephone | 5202243401 |
| Mailing Fax Number | 5202268634 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | CYNTHIA G SMITH (OWNER/PROVIDER) |
| Authorized Official Telephone | 5202243401 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3123 HIGHWAY 83 SUITE B |
| City | SONOITA |
| State | AZ |
| Zip Code | 85637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821569062 | Tracy Romaine Vendituoli | Occupational Therapy Assistant | 19 La Montana Corte, Sonoita, AZ 85637 | 2018-12-16 |
| 1720480312 | Sonoita Sage Clinic, Pllc | Clinic/Center | 3123 Arizona Hwy 83 B, Sonoita, AZ 85637 | 2014-09-25 |
| 1609101302 | Sonoita Elgin Fire District | Ambulance | 3173 N Highway 83, Sonoita, AZ 85637 | 2009-10-14 |
| 1013160290 | Rchp-sierra Vista Inc | Clinic/Center | 3250 Highway 82, Sonoita, AZ 85637 | 2008-10-31 |
| 1750551842 | Michael J. Killebrew Dentistry Pllc | Dentist | 3121 S. Highway 83, Suite D, Sonoita, AZ 85637 | 2008-03-05 |
| 1134249071 | Rafael Alejandro Lopez | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2007-03-31 |
| 1093859795 | Old Pueblo Drug | Pharmacy | 3272 Hwy 82, Sonoita, AZ 85637 | 2007-02-16 |
| 1932735347 | Freedom Chiropractic Foundation | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2020-03-17 |
| 1821509332 | Lopez House Calls Chiropractic Pllc | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2017-10-24 |
| 1417273574 | Angela Lopez | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2010-04-14 |
| Find all providers in zip 85637 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1245851955 | Amy Rachelle Dunn | Nurse Practitioner | 7563 E Plata Ave, Mesa, AZ 85212-9729 | 2020-05-04 |
| 1700407426 | Joan N Nunoo | Nurse Practitioner | 3852 E Santa Fe Ln, Gilbert, AZ 85297-8529 | 2020-05-04 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.