UNTIED OF NORTHERN ARIZONA
NPI 1487411641
Pediatrics in Prescott, AZ

Active since March 04, 2024
1672 OAKLAWN DR, PRESCOTT, AZ 86305(928) 257-1224(928) 264-5299 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Mar 4, 2024 (2 updates tracked since 2024).

About Untied Of Northern Arizona NPPES

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

UNTIED OF NORTHERN ARIZONA (NPI 1487411641) is a healthcare organization registered as a pediatrics in Prescott, Arizona and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Prescott and lists Shelly Klein, Owner/ Primary Physician, as its authorized official.

NPPES Registry Identity

NPI1487411641
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUNTIED OF NORTHERN ARIZONA
Location Address1672 OAKLAWN DRPrescott, AZ 86305-1106
Mailing Address7025 E Autumn LnPrescott Valley, AZ 86315-4807
Fax(928) 264-5299
Organization SubpartNo
Authorized OfficialShelly KleinOwner/ Primary Physician · (928) 257-1224
Enumeration DateMarch 4, 2024
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1487411641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1672 OAKLAWN DR, Prescott, AZ 86305

Other Names 1

Doing Business AsUntied Of Northern Arizona

Secondary Practice Location 1

Location 11672 Oaklawn DrPrescott, AZ 86305-1106 · Phone (928) 445-5339

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

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Medical Specialty)
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Nurse Practitioner
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Clinic/Center (Primary Care)
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Nurse Practitioner (Family)
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Physician Assistant (Medical)
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Point of Service
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Clinic/Center (Medical Specialty)
1672 OAKLAWN DR
PRESCOTT, AZ 86305
Family Medicine
1672 OAKLAWN DR
PRESCOTT, AZ 86305

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 Untied Of Northern Arizona's NPI number?

The NPI number for Untied Of Northern Arizona is 1487411641. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is Untied Of Northern Arizona located?

Untied Of Northern Arizona is located at 1672 Oaklawn Dr, Prescott, AZ 86305. The listed phone number is (928) 257-1224.

What is Untied Of Northern Arizona's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Untied Of Northern Arizona was last updated on April 3, 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.