1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Clinic Center
  6. NPI Profile

SUPERSTITION FAMILY MEDICINE, LLC
NPI 1295495422
Clinic/Center - Primary Care in Mesa, AZ

Active since December 29, 2021CLIA 03D2263527 · Waiver
1910 S STAPLEY DR, MESA, AZ 85204(480) 857-3187(480) 857-3467 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Feb 27, 2022, Jan 9, 2022 and 1 more (4 updates tracked since 2021).

About Superstition Family Medicine, Llc NPPES

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

SUPERSTITION FAMILY MEDICINE, LLC (NPI 1295495422) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Jolene Thweatt, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1295495422
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUPERSTITION FAMILY MEDICINE, LLC
Location Address1910 S STAPLEY DRMesa, AZ 85204-6674
Mailing Address1910 S Stapley Dr Ste 120Mesa, AZ 85204-6676 · (480) 857-3187 · Fax (480) 857-3467
Phone(480) 857-3187
Fax(480) 857-3467
Organization SubpartNo
Authorized OfficialJolene ThweattFamily Nurse Practitioner · (480) 857-3187
Enumeration DateDecember 29, 2021
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1295495422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1910 S STAPLEY DR, Mesa, AZ 85204
Open in Google Maps ↗

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 03D2263527

Superstition Family Medicine, LLC · Mesa, AZ
Active · expires Jun 28, 2028
CLIA Number03D2263527
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorJolene Thweatt
Laboratory Phone(480) 857-3187
Laboratory LocationSuperstition Family Medicine, LLC1910 S Stapley Dr Ste 120, Mesa, AZ 85204
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 5

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

ARIZONA ACNE SPECIALISTS LLC
Clinic/Center
1910 S STAPLEY DR
MESA, AZ 85204
Maricopa County (617) 584-6557
LAUREN NICOLE FETTIS BCBA
Behavior Analyst
1910 S STAPLEY DR
MESA, AZ 85204
Maricopa County (623) 263-3966
ELEVATED HOMECARE
In Home Supportive Care
1910 S STAPLEY DR
MESA, AZ 85204
Maricopa County (480) 725-9190
LAWRENCE BLAIR NIELSEN D.C.
Chiropractor
1910 S STAPLEY DR, STE 221
MESA, AZ 85204
Maricopa County (602) 803-5032
MRS. AMY L TURNER BCBA
Behavior Analyst
1910 S STAPLEY DR
MESA, AZ 85204
Maricopa County (623) 263-3966

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 Superstition Family Medicine, LLC's NPI number?

The NPI number for Superstition Family Medicine, LLC is 1295495422. It was assigned to this organization in the NPPES registry on December 29, 2021.

Where is Superstition Family Medicine, LLC located?

Superstition Family Medicine, LLC is located at 1910 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (480) 857-3187.

What is Superstition Family Medicine, LLC's specialty?

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

Does Superstition Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2263527) is associated with this NPI, valid through June 28, 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 Superstition Family Medicine, LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.