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SYCAMORE AVENUE MEDICAL CENTER, PLLC
NPI 1245762491
Nurse Practitioner - Family in Kingman, AZ

Active since March 28, 2017
975 SYCAMORE AVE, KINGMAN, AZ 86409(928) 692-1900(928) 681-1922 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2021, Apr 25, 2017, Mar 28, 2017 (3 updates tracked since 2017).

About Sycamore Avenue Medical Center, Pllc NPPES

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

SYCAMORE AVENUE MEDICAL CENTER, PLLC (NPI 1245762491) is a healthcare organization registered as a family in Kingman, Arizona and active in the NPI registry since March 2017. The organization lists Felicia Marie Murray, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245762491
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSYCAMORE AVENUE MEDICAL CENTER, PLLC
Location Address975 SYCAMORE AVEKingman, AZ 86409-3548
Mailing Address975 Sycamore AveKingman, AZ 86409-3548 · (928) 692-1900 · Fax (928) 681-1922
Phone(928) 692-1900
Fax(928) 681-1922
Organization SubpartNo
Authorized OfficialFelicia Marie MurrayOffice Manager · (928) 692-1900
Enumeration DateMarch 28, 2017
Last NPPES UpdateJanuary 11, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1245762491 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
License✔ Licensed in AZ · AP3349
975 SYCAMORE AVE, Kingman, AZ 86409
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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 3

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

ILANGOVAN GOVINDARAJAN M.D., CMD
Specialist
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900
MS. RUTH ELAINE FOWLER FNP/BC
Nurse Practitioner (Family)
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900
MOHAVE PRIMARY CARE
Specialist
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900

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 Sycamore Avenue Medical Center, PLLC's NPI number?

The NPI number for Sycamore Avenue Medical Center, PLLC is 1245762491. It was assigned to this organization in the NPPES registry on March 28, 2017.

Where is Sycamore Avenue Medical Center, PLLC located?

Sycamore Avenue Medical Center, PLLC is located at 975 Sycamore Ave, Kingman, AZ 86409. The listed phone number is (928) 692-1900.

What is Sycamore Avenue Medical Center, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sycamore Avenue Medical Center, PLLC was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.