Regional Physician Services of Illinois PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

REGIONAL PHYSICIAN SERVICES OF ILLINOIS PC

Practice address

9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258

Phone

(480) 862-1700

Fax

(480) 907-1537

NPI assigned

Sep 29, 2010

Organization subpart

Yes

Parent organization

COMMUNITY CARE HEALTH NETWORK INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Peterson

Title

Supervisor, Provider Enrollment

Phone

(480) 862-1677

Specialties & licenses 1

Addresses

Part of

Community Care Health

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Care Health Network LLC

  dba CCHN

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1154069763
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1013226620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "telephone_number": "480-862-1700",
            "fax_number": "480-907-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-862-1700",
            "fax_number": "480-907-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSICIAN SERVICES OF ILLINOIS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HEALTH NETWORK INC",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "480-862-1677"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regenesis Wellness Center of Scottsdale
• Regenesthetics
• Regent Healthcare at DC Ranch
• Regent Healthcare of Scottsdale
• Cheryl Regier
• Grant Regnaert
• Rehab Institute of Scottsdale
• Rehab Plus Orthopedics, LLC
• Rehabilitation & Pain Center Phoenix LLC
• Nisha Saleha Rehman, MD

• Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.