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

Peaks Primary Care, LLC

Organization Primary Care Nurse Practitioner · NPI 1700583879

Peaks Primary Care, LLC is a Primary Care Nurse Practitioner in Prescott, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

919 12th Pl Ste 5
Prescott, AZ 86305-1433
Phone: (928) 582-6055
Fax: (928) 445-0166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1700583879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Ellerbe — Administrator · (602) 851-3030
NPI enumeratedFebruary 9, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address919 12th Pl Ste 5, Prescott, AZ 86305-1433

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