Triad Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP2115 Issued in AZ

Legal business name

TRIAD CLINIC PLLC

Practice address

4902 W Ironwood Dr
Glendale, AZ 85302-2402

Phone

(602) 667-4636

Fax

(480) 247-5551

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Daniel Knight, NPNPI 1932173127

Title

President

Phone

(602) 667-4636

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Daniel B Knight, N.P.

  • Family Nurse Practitioner
  • Ash Fork, AZ
  • NPI 1932173127
  NPD (past) Authorized official
• Georgeta Moisiu

  • Adult Care Home Facility
  • Surprise, AZ
  • NPI 1750679239
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1174857791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W BELL RD",
            "address_2": "SUITE C-122-417",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083906",
            "telephone_number": "602-667-4636",
            "fax_number": "480-247-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 W IRONWOOD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022402",
            "telephone_number": "602-667-4636",
            "fax_number": "480-247-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-667-4636",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "3175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Treguboff
• Trekfit LLC
• Paige M Treppa, MA, BCBA, LBA
• Peter Trethewey, P.A.-C
• Tri-City Express Care PLLC
• Jacqueline C Tricarico, PA-C
• Elijah Trice
• Michelle Renae Trice, PT, DPT
• Elijah Trif
• Duncan Scott Trigg, M.D.

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.