YAVAPAI HEALTHCARE GROUP LLC
NPI 1619487675
Nurse Practitioner - Family in Prescott, AZ

Active since October 04, 2017
999 DIVISION STREET, PRESCOTT, AZ 86301(928) 777-9600(928) 777-9797 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yavapai Healthcare Group Llc NPPES

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

YAVAPAI HEALTHCARE GROUP LLC (NPI 1619487675) is a healthcare organization registered as a family in Prescott, Arizona and active in the NPI registry since October 2017. The organization lists Michael O'neil, Sole Mbr/ceo, as its authorized official.

NPPES Registry Identity

NPI1619487675
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameYAVAPAI HEALTHCARE GROUP LLC
Location Address999 DIVISION STREETPrescott, AZ 86301
Mailing Address50 Vanderbilt Motor PkwyCommack, NY 11725 · (631) 352-0650 · Fax (631) 343-7429
Fax(928) 777-9797
Organization SubpartNo
Authorized OfficialMichael O'neilSole Mbr/ceo · (631) 352-0650
Enumeration DateOctober 4, 2017
NPI 1619487675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
999 DIVISION STREET, Prescott, AZ 86301

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

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 Yavapai Healthcare Group LLC's NPI number?

The NPI number for Yavapai Healthcare Group LLC is 1619487675. It was assigned to this organization in the NPPES registry on October 4, 2017.

Where is Yavapai Healthcare Group LLC located?

Yavapai Healthcare Group LLC is located at 999 Division Street, Prescott, AZ 86301. The listed phone number is (928) 777-9600.

What is Yavapai Healthcare Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Yavapai Healthcare Group LLC was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.