1. Home
  2. Directory
  3. Arizona
  4. Prescott
  5. General Practice
  6. NPI Profile

EMBRY RIDDLE WELLNESS CENTER
NPI 1104166727
General Practice in Prescott, AZ

Active since February 19, 2013
3700 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 777-6653 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Embry Riddle Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBRY RIDDLE WELLNESS CENTER (NPI 1104166727) is a healthcare organization registered as a general practice in Prescott, Arizona and active in the NPI registry since February 2013. The organization lists Sandra Palmer, Director, as its authorized official.

NPPES Registry Identity

NPI1104166727
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEMBRY RIDDLE WELLNESS CENTER
Location Address3700 WILLOW CREEK RDPrescott, AZ 86301-3721
Mailing Address3700 Willow Creek RdPrescott, AZ 86301-3721 · (928) 777-6653
Phone(928) 777-6653
Organization SubpartNo
Authorized OfficialSandra PalmerDirector · (928) 777-6653
Enumeration DateFebruary 19, 2013
✔ NPI 1104166727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3700 WILLOW CREEK RD, Prescott, AZ 86301
Open in Google Maps ↗

Other Identifiers 2

Other1730289380AZ · Ellen Bunch Md Type I Npi
Other1649376831AZ · Peter Powers Md Type I Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON CHAMPLIN LPC
Counselor (Professional)
3700 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 910-3376
SANDRA F PALMER RN
Registered Nurse
3700 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 777-6653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embry Riddle Wellness Center's NPI number?

The NPI number for Embry Riddle Wellness Center is 1104166727. It was assigned to this organization in the NPPES registry on February 19, 2013.

Where is Embry Riddle Wellness Center located?

Embry Riddle Wellness Center is located at 3700 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 777-6653.

What is Embry Riddle Wellness Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Embry Riddle Wellness Center was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.