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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRECKENRIDGE WELLNESS CLINIC, LLC
NPI 1659200699
Nurse Practitioner - Family in Flagstaff, AZ

Active since May 15, 2026
2615 N 4TH ST STE 6, FLAGSTAFF, AZ 86004(928) 549-0730 Get Directions Write a Review

NPPES record added: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, May 15, 2026 (2 updates tracked since 2026).

About Breckenridge Wellness Clinic, Llc NPPES

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

BRECKENRIDGE WELLNESS CLINIC, LLC (NPI 1659200699) is a healthcare organization registered as a family in Flagstaff, Arizona and active in the NPI registry since May 2026. The organization lists Heather Breckenridge, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1659200699
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBRECKENRIDGE WELLNESS CLINIC, LLC
Location Address2615 N 4TH ST STE 6Flagstaff, AZ 86004-1812
Mailing Address2615 N 4th St Ste 6Flagstaff, AZ 86004-1812 · (928) 549-0730
Phone(928) 549-0730
Organization SubpartNo
Authorized OfficialHeather BreckenridgeMedical Director · (928) 589-0730
Enumeration DateMay 15, 2026
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1659200699 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
2615 N 4TH ST STE 6, Flagstaff, AZ 86004
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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

Other Providers at the Same Location NPPES 2

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

JANISSE DENTAL INC
Clinic/Center (Dental)
2615 N 4TH ST STE 6
FLAGSTAFF, AZ 86004
Coconino County (928) 774-4761
MRS. HEATHER BRECKENRIDGE RN
Registered Nurse (Flight)
2615 N 4TH ST STE 6
FLAGSTAFF, AZ 86004
Coconino County (928) 699-3266

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 Breckenridge Wellness Clinic, LLC's NPI number?

The NPI number for Breckenridge Wellness Clinic, LLC is 1659200699. It was assigned to this organization in the NPPES registry on May 15, 2026.

Where is Breckenridge Wellness Clinic, LLC located?

Breckenridge Wellness Clinic, LLC is located at 2615 N 4th St Ste 6, Flagstaff, AZ 86004. The listed phone number is (928) 549-0730.

What is Breckenridge Wellness Clinic, 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 Breckenridge Wellness Clinic, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.