Country Club Medical Weight Loss & Wellness PLLC
NPI 1205616398 · Family Nurse Practitioner · Mesa, AZ
Country Club Medical Weight Loss & Wellness PLLC is a Family Nurse Practitioner organization in Mesa, AZ (NPI 1205616398).
Provider details
- NPI number
- 1205616398
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Flora Issanda Stowater, Owner/Manager(480) 840-4777
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-05
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Country Club Medical Weight Loss & Wellness PLLC's NPI number?
- Country Club Medical Weight Loss & Wellness PLLC's National Provider Identifier (NPI) is 1205616398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Medical Weight Loss & Wellness PLLC?
- Country Club Medical Weight Loss & Wellness PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Country Club Medical Weight Loss & Wellness PLLC located?
- Country Club Medical Weight Loss & Wellness PLLC's practice location on file with NPPES is 1855 S Country Club Dr Ste 111-130, Mesa, AZ 85210-6037.
- What is Country Club Medical Weight Loss & Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Country Club Medical Weight Loss & Wellness PLLC is (480) 840-4777.
- Who is the authorized official for Country Club Medical Weight Loss & Wellness PLLC?
- The authorized official listed on Country Club Medical Weight Loss & Wellness PLLC's NPPES record is Flora Issanda Stowater, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Medical Weight Loss & Wellness PLLC's NPI active?
- Yes — Country Club Medical Weight Loss & Wellness PLLC's NPI (1205616398) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.