BETHANY L LUCE (NPI# 1679683510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679683510 |
| Entity Type | Individual |
| Full Name | BETHANY L LUCE |
| Credential | M.D. |
| Practice Address |
3251 N Windsong Dr Prescott Valley AZ 86314-1222 |
| Mailing Address |
Po Box 26568 Prescott Valley AZ 86312-6568 |
| Practice Telephone | 9287722582 |
| Practice Fax Number | 9287722383 |
| Mailing Telephone | 9287781251 |
| Mailing Fax Number | 9287787834 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32468 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ FOUNDATION | 20-0641187 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0749400 | 01 |
| AZ | ACCHS | 869638 | 01 |
| AZ | UNITED HEALTH | 20-0641187 | 01 |
| Street Address |
3251 N WINDSONG DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753586 | Deborah J Plotkin | Registered Nurse | 3251 N Windsong Dr, Prescott Valley, AZ 86314 | 2005-07-12 |
| 1477917342 | Angela T Price | Nurse Practitioner | 3251 N Windsong Dr, Prescott Valley, AZ 86314 | 2016-04-07 |
| 1558657007 | Melissa S Richey | Nurse Practitioner | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2011-06-23 |
| 1164662854 | Robert Sinsheimer Md Pllc | Family Medicine | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2009-02-20 |
| 1245324003 | Mary E. Moyer Md Pllc | Family Medicine | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2006-10-03 |
| 1992817134 | Mary E. Moyer, Md | Family Medicine | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2006-08-31 |
| 1518078856 | Bethany L Luce Md Pllc | Family Medicine | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2006-08-31 |
| 1356450043 | Mary E Moyer | Family Medicine | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2006-08-29 |
| 1124058821 | Michael J Bryan Md Pllc | Family Medicine | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333003 | Colleen Flora Petullo | Family Medicine | 9695 N. Fiorella St., Prescott Valley, AZ 86315 | 2019-08-29 |
| 1811411838 | Legendary Family Healthcare Pllc | Family Medicine | 5372 N Long Rifle Rd, Prescott Valley, AZ 86314-4215 | 2017-08-01 |
| 1043449887 | Yavapai Regional Medical Center Physician Care LLC | Family Medicine | 7700 E Florentine Rd Bldg B, Suite A101, Prescott Valley, AZ 86314-2245 | 2009-07-14 |
| 1013941327 | Shirley Rheinfelder | Family Medicine | 3149 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2006-07-10 |
| 1245280098 | J. Dan Morris | Family Medicine | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2006-05-11 |
| 1699723858 | George E. Dean | Family Medicine | 7700 E Florentine Rd Ste 202, Prescott Valley, AZ 86314-2245 | 2006-05-04 |
| 1770546731 | Jennifer B. Schenne | Family Medicine | 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314-2245 | 2006-04-10 |
| 1346871076 | Yavapai Primary Care | Family Medicine | 3075 N Windsong Dr, Prescott Valley, AZ 86314-1208 | 2020-01-31 |
| 1447769278 | Prescott Quick Care LLC | Family Medicine | 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 | 2017-09-25 |
| 1619266673 | Rebecca S Bushman | Family Medicine | 3212 N Windsong Dr, Suite 200, Prescott Valley, AZ 86314-2255 | 2011-03-30 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.