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YOUR FAMILY PRACTICE TEAM PC
NPI 1396715611
Family Medicine in Show Low, AZ

Active since January 26, 2006CLIA 03D1018615 · Waiver
2051 EVERGREEN LN STE D, SHOW LOW, AZ 85901(928) 537-2200(928) 537-2204 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Your Family Practice Team Pc NPPES

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

YOUR FAMILY PRACTICE TEAM PC (NPI 1396715611) is a healthcare organization registered as a family medicine in Show Low, Arizona and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Becky Thompson, Owner, as its authorized official.

NPPES Registry Identity

NPI1396715611
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYOUR FAMILY PRACTICE TEAM PC
Location Address2051 EVERGREEN LN STE DShow Low, AZ 85901-7928
Mailing Address2051 Evergreen Ln Ste DShow Low, AZ 85901-7928 · (928) 537-2200 · Fax (928) 537-2204
Phone(928) 537-2200
Fax(928) 537-2204
Organization SubpartNo
Authorized OfficialBecky ThompsonOwner · (928) 537-2200
Enumeration DateJanuary 26, 2006
Last NPPES UpdateDecember 16, 2013
✔ NPI 1396715611 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.
2051 EVERGREEN LN STE D, Show Low, AZ 85901
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Your Family Practice Team Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Your Family Practice Team PC, 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 (4)

Becky Thompson, MD
Family Practice
NPI 1740250067
2051 EVERGREEN LN SUITE D
Show Low, AZ 85901
(928) 537-2200
✔ PECOS✔ Accepts MedicareSame address
Ladawna Wallace, FNP
Nurse Practitioner
NPI 1174478952
4951 S WHITE MOUNTAIN RD BLDG A
Show Low, AZ 85901
(928) 532-3926
✔ PECOS✔ Accepts Medicare0.2 mi
Carol Stewart, FNP
Nurse Practitioner
NPI 1174952741
12 N WOODLAND RD
Lakeside, AZ 85929
(928) 940-0809
✔ PECOS✔ Accepts Medicare5.4 mi
Christina Trujillo, FNP-C
Nurse Practitioner
NPI 1780856856
3945 E PARADISE FALLS DR STE 201
Tucson, AZ 85712
(520) 570-1234
✔ PECOS✔ Accepts Medicare143 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

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 03D1018615

Your Family Practice · Show Low, AZ
Active · expires Oct 26, 2027
CLIA Number03D1018615
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorBecky A. Thompson, MD
Laboratory Phone(928) 537-2200
Laboratory LocationYour Family Practice2051 Evergreen Lane Ste D, Show Low, AZ 85901
CLIA data matches this NPI record on: Address 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 Your Family Practice Team PC's NPI number?

The NPI number for Your Family Practice Team PC is 1396715611. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is Your Family Practice Team PC located?

Your Family Practice Team PC is located at 2051 Evergreen Ln Ste D, Show Low, AZ 85901. The listed phone number is (928) 537-2200.

What is Your Family Practice Team PC's specialty?

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

Is Your Family Practice Team PC enrolled in Medicare?

Yes. Your Family Practice Team PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Your Family Practice Team PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Your Family Practice Team PC. 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 (3) and Family Practice (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 Your Family Practice Team PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1018615) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Your Family Practice Team PC was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.