GOODYEAR FAMILY NURSE PRACTICE LLC
NPI 1619740685
Clinic/Center - Primary Care in Avondale, AZ

NPI Status: Active since November 01, 2023

Contact Information

12725 W INDIAN SCHOOL RD STE E101
AVONDALE, AZ
ZIP 85392
Phone: (623) 471-9043

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Primary Care
CLIA Number: 03D2329615
CLIA Cert. Type: Practitioner Other
CLIA Exp. Date: 09-01-2027

About GOODYEAR FAMILY NURSE PRACTICE LLC

This page provides the complete NPI Profile along with additional information for Goodyear Family Nurse Practice Llc, a primary care provider established in Avondale, Arizona operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1619740685 assigned on November 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Kesasi Marsh Np (Owner)

NPI: 1619740685
Provider Name: GOODYEAR FAMILY NURSE PRACTICE LLC
Entity Type: Organization
Location Address: 12725 W INDIAN SCHOOL RD STE E101 AVONDALE, AZ 85392
Location Phone: (623) 471-9043
Mailing Address: 12725 W INDIAN SCHOOL RD # 101L-5 AVONDALE, AZ 85392
Mailing Phone: (623) 471-9049
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-01-2023
Last Update Date: 08-27-2025
Code Navigator

A primary care provider (PCP) like Goodyear Family Nurse Practice Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Primary Care
Taxonomy Code: 261QP2300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MS. KESASI MARSH NP
Authorized Official Title: OWNER
Authorized Official Phone: (602) 541-5790

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 03D2329615
Facility Type: Practitioner Other
Certificate Effective Date: September 02, 2025
Certificate Expiration Date: September 01, 2027
Laboratory Director: KESASI E. MARSH
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Goodyear Family Nurse Practice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619740685, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 4 + 4 + 0 + 6 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1619740685.