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FAMILY TREE HEALTHCARE LLC
NPI 1336500636
Family Medicine in Phoenix, AZ

Active since March 14, 2016CLIA Certified · 2 labs
7002 S CENTRAL AVE, PHOENIX, AZ 85042(602) 449-4221(602) 268-6298 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, May 7, 2025, Apr 11, 2025 and 7 more (10 updates tracked since 2016).

About Family Tree Healthcare Llc NPPES

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

FAMILY TREE HEALTHCARE LLC (NPI 1336500636) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since March 2016. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Phoenix, and lists Hector Reyes, President Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1336500636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY TREE HEALTHCARE LLC
Location Address7002 S CENTRAL AVEPhoenix, AZ 85042-5423
Mailing Address7002 S Central AvePhoenix, AZ 85042-5423 · (602) 499-4221 · Fax (623) 284-1588
Phone(602) 449-4221
Fax(602) 268-6298
Organization SubpartNo
Authorized OfficialHector ReyesPresident Clinic Operations · (602) 499-4221
Enumeration DateMarch 14, 2016
Last NPPES UpdateJuly 17, 202610 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1336500636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
7002 S CENTRAL AVE, Phoenix, AZ 85042
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Secondary Practice Location 1

Location 16036 N 19th Ave Ste 206Phoenix, AZ 85015-2104 · Phone (602) 499-4221 · Fax (833) 464-3253

Other Identifiers 2

Medicaid028879AZ
Medicaid854053AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Tree Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Family Tree Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Lawanda Dupree, DNP, FNP-C
Nurse Practitioner
NPI 1760874168
7002 S CENTRAL AVE
Phoenix, AZ 85042
(602) 499-4221
✔ PECOSSame address
Edmond Baker, MD
Obstetrics/Gynecology
NPI 1235304171
3306 W ROOSEVELT ST
Phoenix, AZ 85009
(602) 889-9401
✔ PECOS✔ Accepts Medicare6.1 mi
Elicia Hinton
Nurse Practitioner
NPI 1922644012
3306 W ROOSEVELT ST
Phoenix, AZ 85009
(602) 889-9401
✔ PECOS✔ Accepts Medicare6.1 mi
Delana Gardner, FNP-C
Nurse Practitioner
NPI 1497181705
7002 S CENTRAL AVE
Phoenix, AZ 85042
(602) 499-4221
✔ PECOS✔ Accepts Medicare11 mi
Alina Moayer, FNP
Nurse Practitioner
NPI 1366124638
10933 W CITRUS GRV
Avondale, AZ 85392
(818) 618-1157
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 03D2126120

Family Tree Health Care · Phoenix, AZ
Active · expires Feb 20, 2027
CLIA Number03D2126120
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorEdmond L. Baker
Laboratory Phone(602) 499-4221
Laboratory LocationFamily Tree Health Care7002 S Central Ave, Phoenix, AZ 85042
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2332390

Family Tree Healthcare · Phoenix, AZ
Active · expires Oct 19, 2027
CLIA Number03D2332390
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorEdmond L. Becker
Laboratory Phone(602) 499-4221
Laboratory LocationFamily Tree Healthcare6036 N 19th Ave Ste 205, Phoenix, AZ 85015
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Tree Healthcare LLC's NPI number?

The NPI number for Family Tree Healthcare LLC is 1336500636. It was assigned to this organization in the NPPES registry on March 14, 2016.

Where is Family Tree Healthcare LLC located?

Family Tree Healthcare LLC is located at 7002 S Central Ave, Phoenix, AZ 85042. The listed phone number is (602) 449-4221.

What is Family Tree Healthcare LLC's specialty?

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

Is Family Tree Healthcare LLC enrolled in Medicare?

Yes. Family Tree Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Tree Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Tree Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Obstetrics/Gynecology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Tree Healthcare LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Family Tree Healthcare LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Family Tree Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Tree Healthcare LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.