Organization Active NPI

Rock Recovery

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1174399497
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROCK RECOVERY
Practice address
13223 W Ashwood Dr
Sun City West, AZ 85375-4510
Phone
(623) 301-2404
Fax
(623) 462-2525
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Prof. Jeffrey Jay Hostetler, RN,BSN,
Title
Practice Manager
Phone
(623) 734-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

13223 W Ashwood Dr
Sun City West, AZ 85375-4510

Mailing address

13223 W Ashwood Dr
Sun City West, AZ 85375-4510
Phone (623) 734-7605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1174399497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13223 W ASHWOOD DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754510",
            "telephone_number": "623-734-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13223 W ASHWOOD DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754510",
            "telephone_number": "623-301-2404",
            "fax_number": "623-462-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-734-7605",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RN,BSN,"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.