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EAST FLAGSTAFF FAMILY MEDICINE LLC
NPI 1326098781
Family Medicine in Flagstaff, AZ

Active since May 10, 2006CLIA 03D0533826 · Microscopy
1515 E CEDAR AVE STE A-3, FLAGSTAFF, AZ 86004(928) 774-2788(928) 774-0123 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Flagstaff Family Medicine Llc NPPES

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

EAST FLAGSTAFF FAMILY MEDICINE LLC (NPI 1326098781), doing business as East Flagstaff Family Medicine Ltd, is a healthcare organization registered as a family medicine in Flagstaff, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Sara Reeves, Owner, as its authorized official.

NPPES Registry Identity

NPI1326098781
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST FLAGSTAFF FAMILY MEDICINE LLC
Location Address1515 E CEDAR AVE STE A-3Flagstaff, AZ 86004-1630
Mailing Address1515 E Cedar Ave Ste A-3Flagstaff, AZ 86004-1630 · (928) 774-2788 · Fax (928) 774-0123
Phone(928) 774-2788
Fax(928) 774-0123
Organization SubpartNo
Authorized OfficialSara ReevesOwner · (928) 774-2788
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
✔ NPI 1326098781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 1787
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1515 E CEDAR AVE STE A-3, Flagstaff, AZ 86004
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Other Names 1

Former Legal Business NameEast Flagstaff Family Medicine Ltd

Other Identifiers 1

Medicaid202101001AZ

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

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0533826

East Flagstaff Family Medicine · Flagstaff, AZ
Active · expires Aug 31, 2026
CLIA Number03D0533826
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBradford D. Croft
Laboratory Phone(928) 774-2788
Laboratory LocationEast Flagstaff Family Medicine1515 E Cedar Ave, Ste A-3, Flagstaff, AZ 86004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

ALLISON KARINE KAVANAGH
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Coconino County (928) 774-2788
SARA M REEVES FNP
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Coconino County (928) 774-2788
DWIGHT JONES FNP-C
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Coconino County (928) 774-2788
MR. MATTHEW HENRY PIELECHA PA-C
Physician Assistant
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Coconino County (928) 774-2788
BROCK WILLIAM VENMAN PA-C
Physician Assistant
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Coconino County (928) 774-2788
MEREDITH MARIE SMITH NP
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Coconino County (928) 774-2788

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 East Flagstaff Family Medicine LLC's NPI number?

The NPI number for East Flagstaff Family Medicine LLC is 1326098781. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider was formerly known as East Flagstaff Family Medicine Ltd.

Where is East Flagstaff Family Medicine LLC located?

East Flagstaff Family Medicine LLC is located at 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004. The listed phone number is (928) 774-2788.

What is East Flagstaff Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does East Flagstaff Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0533826) is associated with this NPI, valid through August 31, 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 East Flagstaff Family Medicine LLC was last updated on November 22, 2023. 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.