INNOVATIVE DIABETIC CENTER LLC NPI 1235997602

NPI Information

  • NPI: 1235997602
  • Provider Name: INNOVATIVE DIABETIC CENTER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 10210 N 92ND ST STE 104
    SCOTTSDALE, AZ
    ZIP 85258
  • Phone: (480) 493-0900

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NPI Details

INNOVATIVE DIABETIC CENTER, LLC is a family medicine in Scottsdale, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INNOVATIVE DIABETIC CENTER, LLC NPI is 1235997602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10210 N 92ND ST STE 104
SCOTTSDALE, AZ
ZIP 85258-531
Phone: (480) 493-0900
Fax: (833) 228-0846

The provider's authorized official is Amy Lorraine Hunn .
The authorized official title is President and has the following contact phone number (480) 493-0900.

The enumeration date for this NPI number is 3/11/2024 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1006XDietitian, RegisteredNutrition, MetabolicNo
2133N00000XNutritionistNo
3164W00000XLicensed Practical NurseNo
4261QI0500XClinic/CenterInfusion TherapyNo
5163WI0500XRegistered NurseInfusion TherapyNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7163WD0400XRegistered NurseDiabetes EducatorNo
8208VP0000XPain MedicinePain MedicineNo
92081P2900XPhysical Medicine & RehabilitationPain MedicineNo
10363L00000XNurse PractitionerNo
11207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
12207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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