Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fresh Start Ic, PLLC

Organization Case Manager/Care Coordinator · NPI 1477256378

Fresh Start Ic, PLLC is a Case Manager/Care Coordinator in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9118 N Cave Creek Rd
Phoenix, AZ 85020-2525
Phone: (480) 900-7622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1477256378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelica Zepeda — Administrative Assistant · (480) 749-0282
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing addressPo Box 26063, Phoenix, AZ 85068-6063

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