1. Home
  2. Directory
  3. Arizona
  4. Kingman
  5. Preventive Medicine
  6. NPI Profile

RED TAIL HAWK RANCH PLLC
NPI 1811872153
Preventive Medicine - Addiction Medicine in Kingman, AZ

Active since August 06, 2025
3462 E LAWMAN DR, KINGMAN, AZ 86401(702) 274-8220(928) 251-8079 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Aug 6, 2025 (2 updates tracked since 2025).

About Red Tail Hawk Ranch Pllc NPPES

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

RED TAIL HAWK RANCH PLLC (NPI 1811872153), doing business as John 3:17 Clinic, is a healthcare organization registered as an addiction medicine in Kingman, Arizona and active in the NPI registry since August 2025. The organization lists Michael Edward Sheehy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811872153
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameRED TAIL HAWK RANCH PLLC
Location Address3462 E LAWMAN DRKingman, AZ 86401-6591
Mailing Address3462 E Lawman DrKingman, AZ 86401-6591 · (702) 274-8220 · Fax (928) 251-8079
Phone(702) 274-8220
Fax(928) 251-8079
Organization SubpartNo
Authorized OfficialMichael Edward SheehyMedical Director · (702) 274-8220
Enumeration DateAugust 6, 2025
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1811872153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
3462 E LAWMAN DR, Kingman, AZ 86401
Open in Google Maps ↗

Other Names 1

Doing Business AsJohn 3:17 Clinic

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

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

DR. MICHAEL EDWARD SHEEHY DO
Preventive Medicine (Addiction Medicine)
3462 E LAWMAN DR, NULL
KINGMAN, AZ 86401
Mohave County (928) 352-1197

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 Red Tail Hawk Ranch PLLC's NPI number?

The NPI number for Red Tail Hawk Ranch PLLC is 1811872153. It was assigned to this organization in the NPPES registry on August 6, 2025. The provider is doing business as John 3:17 Clinic.

Where is Red Tail Hawk Ranch PLLC located?

Red Tail Hawk Ranch PLLC is located at 3462 E Lawman Dr, Kingman, AZ 86401. The listed phone number is (702) 274-8220.

What is Red Tail Hawk Ranch PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Red Tail Hawk Ranch PLLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.