BIG PARK FAMILY PRACTICE PC (NPI# 1902000763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902000763 |
| Entity Type | Organization |
| Organization Name | BIG PARK FAMILY PRACTICE PC |
| Practice Address |
61 Bell Rock Plz Sedona AZ 86351-8810 |
| Mailing Address |
Po Box 21540 Sedona AZ 86341-1540 |
| Practice Telephone | 9283004783 |
| Practice Fax Number | 9286340337 |
| Mailing Telephone | 9283004783 |
| Mailing Fax Number | 9286340337 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | TY MONTGOMERY (OWNER) |
| Authorized Official Telephone | 9283004783 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP2648 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
61 BELL ROCK PLZ |
| City | SEDONA |
| State | AZ |
| Zip Code | 86351-8810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013136753 | Debbie L Kelley | Audiologist | 61 Bell Rock Plz, Ste B, Sedona, AZ 86351-8810 | 2007-04-24 |
| 1528487014 | Hear In Arizona LLC | Audiologist-Hearing Aid Fitter | 61 Bell Rock Plz, Ste B, Sedona, AZ 86351-8810 | 2014-04-10 |
| 1669806881 | Jeff Sutton Schetter | Hearing Instrument Specialist | 61 Bell Rock Plz, Suite B, Sedona, AZ 86351-8810 | 2013-08-23 |
| 1417396821 | The Hearing Professionals, Inc. | Audiologist | 61 Bell Rock Plz, Suite B, Sedona, AZ 86351-8810 | 2013-06-19 |
| 1053528760 | Terrence J Montgomery | Nurse Practitioner | 61 Bell Rock Plz, Sedona, AZ 86351-8810 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645391 | Southwestern Eye Center Ltd | Optometrist | 100 Verde Valley Road, Ste 114, Sedona, AZ 86351 | 2014-02-25 |
| 1033303185 | Julie A Leader | Nurse Practitioner | 275 Verde Valley School Rd, Sedona, AZ 86351 | 2007-08-31 |
| 1659593580 | Robert R Easton | Counselor | 6560 Rt. 179, Suite 204, Sedona, AZ 86351 | 2007-05-02 |
| 1851445746 | William Howard Johnson | Psychologist | 380 Oak Creek Drive, Sedona, AZ 86351 | 2007-01-22 |
| 1689746653 | Cynthia A Dodge | Psychologist | Ste 204, 6560 Rte 179, Sedona, AZ 86351 | 2006-11-15 |
| 1316020480 | Natalie H Rockwell | Nurse Practitioner | 6446 State Route 179, Suite 207b, Sedona, AZ 86351 | 2006-10-23 |
| 1457381295 | Rta Hospice, LLC | Hospice, Inpatient | 70 Bell Rock Plaza, Sedona, AZ 86351 | 2006-07-04 |
| 1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
| 1285997452 | Susan Kay Ramirez | Occupational Therapist | 505 Jacks Canyon Rd, Sedona, AZ 86351 | 2012-06-21 |
| 1114033107 | Sedona Grocery, LLC | Pharmacy | 100 Verde Valley School Rd, Sedona, AZ 86351 | 2006-08-22 |
| Find all providers in zip 86351 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275054280 | Elizabeth Anne Franco | Nurse Practitioner | 1890 W Sr 89a Ste D, Sedona, AZ 86336-5571 | 2017-06-29 |
| 1689083552 | Deborah C Schindele | Nurse Practitioner | 461 Forest Rd, Sedona, AZ 86336-4847 | 2014-08-05 |
| 1669746467 | Stacy L. Davidson, Fnp-bc PC | Nurse Practitioner | 2155 Shelby Dr, Suite C, Sedona, AZ 86336-5476 | 2012-02-27 |
| 1568594984 | Linda S. Kaplan | Nurse Practitioner | 61 Bell Rock Road, Sedona, AZ 86336 | 2007-03-12 |
| 1598833899 | Sheila Navidi | Nurse Practitioner | 2155 W State Route 89a, Ste 116, Sedona, AZ 86336-5415 | 2006-12-04 |
| 1437139474 | Marian Sue Diamond | Nurse Practitioner | 1890 W Hwy 89a, Ste. D, Sedona, AZ 86336-5571 | 2006-01-17 |
| 1487656278 | Joan E Sullivan | Nurse Practitioner | 95 Soldiers Pass Rd, Suite A-2, Sedona, AZ 86336-4781 | 2005-08-11 |
| 1699148379 | Paradise Mind and Body, Inc | Nurse Practitioner | 461 Forest Rd, Sedona, AZ 86336-4847 | 2015-11-04 |
| 1801269444 | Andria Pizzato | Nurse Practitioner | 210 Sunset Dr, Ste A1, Sedona, AZ 86336-5409 | 2015-11-04 |
| 1891005633 | Kathleen L Buchanan | Nurse Practitioner | 1890 W State Route 89a Ste D, Sedona, AZ 86336-5571 | 2010-10-14 |
| Find all providers in SEDONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.