Advanced Geriatric Care PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ADVANCED GERIATRIC CARE PLLC

Practice address

17418 159TH Ave SE
Renton, WA 98058-9153

Phone

(415) 746-0007

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Selam Estefanos, ARNP

Title

Arnp

Phone

(415) 746-0007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1194442954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17418 159TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589153",
            "telephone_number": "415-746-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17418 159TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589153",
            "telephone_number": "415-746-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GERIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "ESTEFANOS",
        "authorized_official_first_name": "SELAM",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "415-746-0007",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.