Speciality Custom Care, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP-3689 Issued in AZ

Legal business name

SPECIALITY CUSTOM CARE, LLC

Practice address

2343 W Shackleton Dr
Anthem, AZ 85086-2345

Phone

(216) 470-1069

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Alberino-Craig, NP

Title

Owner

Phone

(216) 470-1069

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda L. Alberino, RN-CNP

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1225141096

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1063927044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 W SHACKLETON DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850862345",
            "telephone_number": "216-470-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 W SHACKLETON DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850862345",
            "telephone_number": "216-470-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALITY CUSTOM CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "ALBERINO-CRAIG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-470-1069",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP-3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Soto, RN
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• Southwest Sleep Solutions LLC
• Southwest Sleep Solutions LLC
• Spooner Physical Therapy & Hand Rehab, PC
• Darius Stacu, PHARMD
• Scott Robert Stamp, D.C.
• Lawrence R Stern, OD
• Stetson Hills Family Medicine PLC (Stetson Hills Family Medicine-Anthem)

• Adult Health Nurse Practitioner in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.