1. Home
  2. Directory
  3. Arizona
  4. Lake Havasu City
  5. Family Medicine
  6. NPI Profile

VIP IV & MEDICAL SPA, LLC
NPI 1447932280
Family Medicine in Lake Havasu City, AZ

Active since August 02, 2023
1690 MCCULLOCH BLVD N STE 102, LAKE HAVASU CITY, AZ 86403(480) 404-4896(480) 400-1063 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vip Iv & Medical Spa, Llc NPPES

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

VIP IV & MEDICAL SPA, LLC (NPI 1447932280) is a healthcare organization registered as a family medicine in Lake Havasu City, Arizona and active in the NPI registry since August 2023. The organization lists Kelley Robin Farley, Owner, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1447932280
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVIP IV & MEDICAL SPA, LLC
Location Address1690 MCCULLOCH BLVD N STE 102Lake Havasu City, AZ 86403-6560
Mailing Address1747 Los Lagos DrLake Havasu City, AZ 86403-6625 · (480) 404-4896 · Fax (480) 400-1063
Phone(480) 404-4896
Fax(480) 400-1063
Organization SubpartNo
Authorized OfficialKelley Robin FarleyOwner, Family Nurse Practitioner · (480) 404-4896
Enumeration DateAugust 2, 2023
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1447932280 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.
1690 MCCULLOCH BLVD N STE 102, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Other Names 1

Doing Business AsVip Iv & Medical Spa, Llc

Other Providers at the Same Location NPPES

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

MS. KELLEY ROBIN FARLEY NP
Nurse Practitioner (Family)
1690 MCCULLOCH BLVD N STE 102
LAKE HAVASU CITY, AZ 86403
Mohave County (480) 404-4896

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 Vip IV & Medical Spa, LLC's NPI number?

The NPI number for Vip IV & Medical Spa, LLC is 1447932280. It was assigned to this organization in the NPPES registry on August 2, 2023.

Where is Vip IV & Medical Spa, LLC located?

Vip IV & Medical Spa, LLC is located at 1690 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403. The listed phone number is (480) 404-4896.

What is Vip IV & Medical Spa, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vip IV & Medical Spa, LLC was last updated on January 11, 2024. 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.