Patriot Internal Medicine LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PATRIOT INTERNAL MEDICINE LLC

Practice address

9356 E Rita Rd
Ste 140
Tucson, AZ 85747-6315

Phone

(520) 398-7079

Fax

(520) 207-4317

NPI assigned

Sep 17, 2016

Organization subpart

No

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

Authorized official

Name

Helene P Henager, N.P.NPI 1386716504

Title

Owner

Phone

(520) 398-7079

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helene Patricia Henager, N.P.

  • Adult Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1386716504
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1093263188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476315",
            "telephone_number": "520-398-7079",
            "fax_number": "520-207-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9356 E RITA RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857476315",
            "telephone_number": "520-398-7079",
            "fax_number": "520-207-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-17",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "HENAGER",
        "authorized_official_first_name": "HELENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-398-7079",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241716",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patient Care Advocates, LLC.
• Patient Transport of Tucson LLC
• Claudia Alejandra Patino Gonzalez, MD
• Patricia Volkerts, PH.D., PC
• Patrick S. Anderson DDS PC
• Ingrid E Patsch, M.D.
• Aaron Patrick Patterson, OTR/L
• Alexis Patterson
• Alexis Marie Patterson, PT
• Denise Marie Patterson, PMHNP

• Adult Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, 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 May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.