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OPTUM PRIMARY CARE
NPI 1215470885
Nurse Practitioner - Family in Cottonwood, AZ

Active since November 29, 2016CLIA 03D2154549 · Waiver
203 S CANDY LN, SUITE 13AB, COTTONWOOD, AZ 86326(928) 649-1389(928) 634-5314 Get Directions Write a Review

NPPES record last updated: September 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optum Primary Care NPPES

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

OPTUM PRIMARY CARE (NPI 1215470885) is a healthcare organization registered as a family in Cottonwood, Arizona and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Emily Castillo, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1215470885
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANGIE COIL FNP PLLC
Location Address203 S CANDY LN, SUITE 13ABCottonwood, AZ 86326-4120
Mailing Address203 S Candy Ln, Suite 13abCottonwood, AZ 86326-4120 · (928) 649-1389 · Fax (928) 634-5314
Phone(928) 649-1389
Fax(928) 634-5314
Organization SubpartNo
Authorized OfficialEmily CastilloRegional Manager · (702) 480-2550
Enumeration DateNovember 29, 2016
Last NPPES UpdateSeptember 2, 2023
NPPES CertifiedSeptember 2, 2023
✔ NPI 1215470885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
203 S CANDY LN, Cottonwood, AZ 86326
Open in Google Maps ↗

Other Names 1

Doing Business AsOptum Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 03D2154549

Optum Primary Care - Cottonwood · Cottonwood, AZ
Active · expires Sep 13, 2026
CLIA Number03D2154549
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorLeo Odle
Laboratory Phone(928) 649-1389
Laboratory LocationOptum Primary Care - Cottonwood203 S Candy Ln Ste 13ab, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC
Clinical Medical Laboratory
203 S CANDY LN, SUITE 115-B2
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0495
SUSAN MARY ALBRIGHT R.N.P.
Nurse Practitioner (Family)
203 S CANDY LN, SUITE 1A
COTTONWOOD, AZ 86326
Yavapai County (928) 649-1389
JOYCE L. RICHARDS, D.O. P.C.
Internal Medicine (Gastroenterology)
203 S CANDY LN, STE 2A
COTTONWOOD, AZ 86326
Yavapai County (928) 634-5700
BELLA VITA HEALTHCARE
Nurse Practitioner (Women's Health)
203 S CANDY LN, SUITE 6AB
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0391
MR. ROBERT GARY GAGLIANO MD
Internal Medicine (Medical Oncology)
203 S CANDY LN, SUITE 9A
COTTONWOOD, AZ 86326
Yavapai County (928) 639-6299
DR. DANIELA HUTYROVA NMD, PHD
Naturopath
203 S CANDY LN, SUITE 2B
COTTONWOOD, AZ 86326
Yavapai County (928) 649-9686
ANGELA SCHILLING-KOONS, NP, LLC
Clinic/Center (Primary Care)
203 S CANDY LN, BLDG 13AB
COTTONWOOD, AZ 86326
Yavapai County (928) 649-1389
KIMBERLY GOULD NP
Nurse Practitioner (Family)
203 S CANDY LN, 6AB
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0391

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 Angie Coil Fnp PLLC's NPI number?

The NPI number for Angie Coil Fnp PLLC is 1215470885. It was assigned to this organization in the NPPES registry on November 29, 2016. The provider is doing business as Optum Primary Care.

Where is Angie Coil Fnp PLLC located?

Angie Coil Fnp PLLC is located at 203 S Candy Ln Suite 13ab, Cottonwood, AZ 86326. The listed phone number is (928) 649-1389.

What is Angie Coil Fnp PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Angie Coil Fnp PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2154549) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angie Coil Fnp PLLC was last updated on September 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.