THE LITTLE CLINIC OF ARIZONA LLC
NPI 1023216249
Nurse Practitioner - Family in Buckeye, AZ

NPI Status: Active since July 10, 2007

Contact Information

1300 S WATSON RD
BUCKEYE, AZ
ZIP 85326
Phone: (623) 241-5322
Fax: (623) 241-5323

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance

About THE LITTLE CLINIC OF ARIZONA LLC

This page provides the complete NPI Profile along with additional information for The Little Clinic Of Arizona Llc, a provider established in Buckeye, Arizona operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1023216249 assigned on July 2007. The practitioner's primary taxonomy code is 363LF0000X with license number OTC 4233 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Thomas Shelly Md (Vp & General Manager)

NPI
1023216249
Provider Name
THE LITTLE CLINIC OF ARIZONA LLC
Entity Type
Organization
Location Address
1300 S WATSON RD BUCKEYE, AZ 85326
Location Phone
(623) 241-5322
Location Fax
(623) 241-5323
Mailing Address
PO BOX 932958 CLEVELAND, OH 44193
Mailing Phone
(615) 425-4200
Mailing Fax
(623) 241-5323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2007
Last Update Date
10-22-2025
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A nurse practitioner (NP) like The Little Clinic Of Arizona Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1935 N Stapley Dr
    Mesa, AZ 85203
    (480) 339-6178
  • 2724 S Signal Butte Rd
    Mesa, AZ 85209
    (480) 481-7210
  • 2727 W Bell Rd
    Phoenix, AZ 85053
    (602) 680-2386
  • 3100 N Glassford Hill Rd
    Prescott Valley, AZ 86314
    (928) 777-7820
  • 3255 S Rural Rd
    Tempe, AZ 85282
    (480) 304-5467
  • 6470 S Higley Rd
    Gilbert, AZ 85298
    (480) 809-2409
  • 6611 W Bell Rd
    Glendale, AZ 85308
    (623) 334-2953
  • 9900 S Rural Rd
    Tempe, AZ 85284
    (480) 783-6257
  • 1575 N Dysart Rd
    Avondale, AZ 85392
    (623) 687-9883
  • 155 W Combs Rd
    San Tan Valley, AZ 85140
    (480) 474-6620
  • 13730 W Camelback Rd
    Litchfield Park, AZ 85340
    (623) 334-7745
  • 1311 E Bell Rd
    Phoenix, AZ 85022
    (602) 594-5040

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
OTC 4233
License State
AZ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

OTC 4233 (AZ)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Silver Focus - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Bronze Essential - HMO
  • UHC Bronze Essential- - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS SHELLY MD

Authorized Official Title
VP & GENERAL MANAGER
Authorized Official Phone
(615) 425-4200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
758664MEDICAID (05)AZ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023216249, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 4 + 1 + 1 + 2 + 2 + 8 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1023216249.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Dentist
1300 S WATSON RD, STE. A100
BUCKEYE, AZ 85326
Dentist (General Practice)
1300 S WATSON RD, STE A100
BUCKEYE, AZ 85326
Nurse Practitioner (Family)
1300 S WATSON RD
BUCKEYE, AZ 85326
In Home Supportive Care
1300 S WATSON RD, 114-255
BUCKEYE, AZ 85326
Pharmacist
1300 S WATSON RD
BUCKEYE, AZ 85326
Dentist (General Practice)
1300 S WATSON RD, SUITE A-100
BUCKEYE, AZ 85326
Pharmacist
1300 S WATSON RD
BUCKEYE, AZ 85326
Chiropractor
1300 S WATSON RD, #A106
BUCKEYE, AZ 85326
Pharmacist
1300 S WATSON RD
BUCKEYE, AZ 85326
Family Medicine
1300 S WATSON RD, STE 104
BUCKEYE, AZ 85326
Nurse Practitioner (Family)
1300 S WATSON RD
BUCKEYE, AZ 85326
Pharmacist
1300 S WATSON RD
BUCKEYE, AZ 85326
In Home Supportive Care
1300 S WATSON RD
BUCKEYE, AZ 85326
Nurse Practitioner (Family)
1300 S WATSON RD
BUCKEYE, AZ 85326
Pharmacy (Community/Retail Pharmacy)
1300 S WATSON RD
BUCKEYE, AZ 85326
Pharmacist
1300 S WATSON RD
BUCKEYE, AZ 85326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023216249, enumerated as an "organization" on July 10, 2007.

The provider is located at 1300 S WATSON RD BUCKEYE, AZ 85326 and the phone number is (623) 241-5322.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.