MESQUITE VALLEY INTEGRATED HEALTH
NPI 1790384014
Nurse Practitioner - Community Health in Mesa, AZ
NPI Status: Active since October 19, 2020
Contact Information
560 W BROWN RD STE 1011
MESA, AZ
ZIP 85201
Phone: (480) 509-7738
Fax: (480) 856-9069
- Organization
- Nurse Practitioner
- Community Health
- CLIA Number: 03D2212821
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-07-2027
About MESQUITE VALLEY INTEGRATED HEALTH
This page provides the complete NPI Profile along with additional information for Mesquite Valley Integrated Health, a provider established in Mesa, Arizona operating as a Nurse Practitioner, focusing in community health . The healthcare provider is registered in the NPI registry with number 1790384014 assigned on October 2020. The practitioner's primary taxonomy code is 363LC1500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mesquite Valley Integrated Health. The authorized official of this NPI record is Mr. Troy Fulton Pmhnp (Owner)
- NPI
- 1790384014
- Provider Legal Name
- FULTON & FULTON LLC
- Other Organization Name
- MESQUITE VALLEY INTEGRATED HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 560 W BROWN RD STE 1011 MESA, AZ 85201
- Location Phone
- (480) 509-7738
- Location Fax
- (480) 856-9069
- Mailing Address
- 560 W BROWN RD STE 1011 MESA, AZ 85201
- Mailing Phone
- (480) 509-7738
- Mailing Fax
- (480) 856-9069
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2020
- Last Update Date
- 07-23-2024
- Code Navigator
A nurse practitioner (NP) like Mesquite Valley Integrated Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 560 W Brown Rd Ste 1011
Mesa, AZ 85201
(480) 509-7738
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
Nurse Practitioner Community Health
- Taxonomy Code
- 363LC1500X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 03D2212821
- Facility Type
- Physician Office
- Certificate Effective Date
- February 08, 2025
- Certificate Expiration Date
- February 07, 2027
- Laboratory Director
- TROY M. FULTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mesquite Valley Integrated Health 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.
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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 1790384014, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
MESA, AZ 85201
MESA, AZ 85201
MESA, AZ 85201
MESA, AZ 85201
MESA, AZ 85201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790384014, enumerated as an "organization" on October 19, 2020.
The provider is located at 560 W BROWN RD STE 1011 MESA, AZ 85201 and the phone number is (480) 509-7738.
Nurse Practitioner with taxonomy code 363LC1500X and a focus in Community Health.