PRISMA COMMUNITY CARE
NPI 1104929504
Registered Nurse in Phoenix, AZ

Active since September 07, 2006CLIA 03D1085957 · Waiver
1101 N. CENTRAL AVENUE, SUITE 200, PHOENIX, AZ 85004(602) 307-5330(602) 307-5021 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Jul 6, 2020, Jan 31, 2019 (3 updates tracked since 2019).

About Prisma Community Care NPPES

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

PRISMA COMMUNITY CARE (NPI 1104929504), doing business as Southwest Center, is a healthcare organization registered as a registered nurse in Phoenix, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Casey Simon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104929504
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NamePRISMA COMMUNITY CARE
Location Address1101 N. CENTRAL AVENUE, SUITE 200Phoenix, AZ 85004
Mailing Address1101 N Central Ave Ste 200Phoenix, AZ 85004-1844 · (602) 347-0873 · Fax (602) 246-1980
Fax(602) 307-5021
Organization SubpartNo
Authorized OfficialCasey SimonAuthorized Official · (602) 307-5330
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
NPI 1104929504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
1101 N. CENTRAL AVENUE, Phoenix, AZ 85004

Other Names 1

Doing Business AsSouthwest Center

Other Identifiers 1

Medicaid928418AZ

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1085957

Prisma Community Care · Phoenix, AZ
Active · expires Jun 30, 2028
CLIA Number03D1085957
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorHeather Taylor
Laboratory Phone(602) 595-8146
Laboratory LocationPrisma Community Care1101 N Central Ave, Suite 200, Phoenix, AZ 85004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1101 N. CENTRAL AVENUE, MARICOPA INTEGRATED HEALTH SYSTEM
PHOENIX, AZ 85004

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 Prisma Community Care's NPI number?

The NPI number for Prisma Community Care is 1104929504. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Southwest Center.

Where is Prisma Community Care located?

Prisma Community Care is located at 1101 N. Central Avenue Suite 200, Phoenix, AZ 85004. The listed phone number is (602) 307-5330.

What is Prisma Community Care's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does Prisma Community Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1085957) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prisma Community Care accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Prisma Community Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prisma Community Care was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.