Vip IV & Medical Spa, LLC
NPI 1447932280 · Family Medicine Physician · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vip IV & Medical Spa, LLC is a Family Medicine Physician organization in Lake Havasu City, AZ (NPI 1447932280).
Provider details
- NPI number
- 1447932280
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelley Farley, Owner, Family Nurse Practitioner(480) 404-4896
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
Other names (DBA / former)
- Doing business as
- Vip IV & Medical Spa, LLC
- Doing business as
- Vip IV & Medical Spa, LLC
Registry dates
- Enumerated
- 2023-08-02
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Frequently asked questions
- What is Vip IV & Medical Spa, LLC's NPI number?
- Vip IV & Medical Spa, LLC's National Provider Identifier (NPI) is 1447932280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vip IV & Medical Spa, LLC?
- Vip IV & Medical Spa, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vip IV & Medical Spa, LLC located?
- Vip IV & Medical Spa, LLC's practice location on file with NPPES is 1690 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6560.
- What is Vip IV & Medical Spa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vip IV & Medical Spa, LLC is (480) 404-4896.
- Does Vip IV & Medical Spa, LLC accept Medicare?
- Vip IV & Medical Spa, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vip IV & Medical Spa, LLC?
- The authorized official listed on Vip IV & Medical Spa, LLC's NPPES record is Kelley Farley, Owner, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vip IV & Medical Spa, LLC's NPI active?
- Yes — Vip IV & Medical Spa, LLC's NPI (1447932280) is active in the NPPES registry as of the last update on 2024-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.