Country Clinic PC
NPI 1740561562 · Family Nurse Practitioner · Queen Creek, AZ
Country Clinic PC is a Family Nurse Practitioner organization in Queen Creek, AZ (NPI 1740561562).
Provider details
- NPI number
- 1740561562
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Katherine Hakeman, President(480) 369-0582
- License
- AP2088 (AZ)
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
14 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
- 2011-09-07
- Last updated
- 2012-03-14
Frequently asked questions
- What is Country Clinic PC's NPI number?
- Country Clinic PC's National Provider Identifier (NPI) is 1740561562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Clinic PC?
- Country Clinic PC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Country Clinic PC located?
- Country Clinic PC's practice location on file with NPPES is 26416 S Mandarin Dr, Queen Creek, AZ 85142-9411.
- What is Country Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Country Clinic PC is (480) 369-0582.
- Who is the authorized official for Country Clinic PC?
- The authorized official listed on Country Clinic PC's NPPES record is Katherine Hakeman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Clinic PC's NPI active?
- Yes — Country Clinic PC's NPI (1740561562) is active in the NPPES registry as of the last update on 2012-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.