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PATE COMPLETE HEALTHCARE
NPI 1174243505
Clinic/Center - Primary Care in Prescott, AZ

Active since August 29, 2022CLIA 03D2299063 · Waiver
3101 CLEARWATER DR STE B, PRESCOTT, AZ 86305(928) 277-4622(928) 515-1219 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 17, 2024, Aug 29, 2022 (2 updates tracked since 2022).

About Pate Complete Healthcare NPPES

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

PATE COMPLETE HEALTHCARE (NPI 1174243505) is a healthcare organization registered as a primary care in Prescott, Arizona and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Shurine Ann Pate, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174243505
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHURINE PATE, PLLC
Location Address3101 CLEARWATER DR STE BPrescott, AZ 86305-7180
Mailing Address3101 Clearwater Dr Ste BPrescott, AZ 86305-7180 · (928) 277-4622 · Fax (928) 515-1219
Phone(928) 277-4622
Fax(928) 515-1219
Organization SubpartNo
Authorized OfficialShurine Ann PateOwner/nurse Practitioner · (928) 277-4622
Enumeration DateAugust 29, 2022
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1174243505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3101 CLEARWATER DR STE B, Prescott, AZ 86305
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Other Names 1

Doing Business AsPate Complete Healthcare

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 03D2299063

Pate Complete Heatlhcare · Prescott, AZ
Active · expires Feb 12, 2028
CLIA Number03D2299063
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorShurine Pate
Laboratory Phone(928) 277-4622
Laboratory LocationPate Complete Heatlhcare3101 Clearwater Dr Ste B, Prescott, AZ 86305
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. THOMAS DOUGLAS HUDSON FNP-C
Nurse Practitioner (Family)
3101 CLEARWATER DR STE B
PRESCOTT, AZ 86305
Yavapai County (927) 237-9014
DR. SHURINE ANN PATE DNP, APRN, AGPCNP-BC
Nurse Practitioner (Primary Care)
3101 CLEARWATER DR STE B
PRESCOTT, AZ 86305
Yavapai County (928) 277-4622

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 Shurine Pate, PLLC's NPI number?

The NPI number for Shurine Pate, PLLC is 1174243505. It was assigned to this organization in the NPPES registry on August 29, 2022. The provider is doing business as Pate Complete Healthcare.

Where is Shurine Pate, PLLC located?

Shurine Pate, PLLC is located at 3101 Clearwater Dr Ste B, Prescott, AZ 86305. The listed phone number is (928) 277-4622.

What is Shurine Pate, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Shurine Pate, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2299063) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shurine Pate, PLLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.