Angela Denardo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113629 Issued in FL

Practice address

10679 N Frank Lloyd Wright Blvd Ste 103
Scottsdale, AZ 85259-2675

Phone

(480) 896-3754

NPI assigned

Nov 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1174127559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10679 N FRANK LLOYD WRIGHT BLVD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592675",
            "telephone_number": "775-691-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10679 N FRANK LLOYD WRIGHT BLVD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592675",
            "telephone_number": "480-896-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARDO",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10237",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA NUMEBR",
            "identifier": "117596",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE ARIZONA REGULATORY BOARD OF PHYSICIAN  ASSISTANTS",
            "identifier": "10237",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie E Dement, P.A.-C.
• Colleen Demeo
• Andrew Steven Demotto, PHARMD
• Jodie Lee Demulder, MS
• Chris Demuth
• John William Denboer, PH.D.
• Charles Deneen Jr., DPT
• Lori A Denewiler, CRNA
• Yong Deng, M.D. CHINA
• Jacob Anderson Denious

• Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.