Conrad L Cordova

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8651 Issued in AZ

Practice address

1925 W Orange Grove Rd Ste 105
Tucson, AZ 85704-1150

Phone

(520) 526-9699

NPI assigned

Apr 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aleracare Aic LLCGroup PAC ID 8325419005, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aleracare Aic LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1124735063
  Medicare reassignment Care Compare group NPD
• Pathways Medical Partners

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1144762238
  Medicare reassignment NPD
• Aleracare of Colorado, LLC

  • Multi-Specialty Clinic/Center
  • Pueblo, CO
  • NPI 1033713805
  NPD
• Catalina Hospice PLLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1396351235
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1215382460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041150",
            "telephone_number": "520-526-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041150",
            "telephone_number": "520-526-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 W Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136038",
            "country_code": "US",
            "telephone_number": "520-635-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "CONRAD",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R. Corbett, PHD
• Tracey Ann Corbett
• James Elbert Corbin, P.A.
• John Gregory Corcoran, MD
• Carmen Odette Cordova, SPEECH PATHOLOGIST
• Danielle Cordova
• Sierra Alexandra Cordova, L.M.T.
• Martha Alicia Corella, MSC, LPC
• Alberto G Corica, M.D.
• Amy Cormode, LAC

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, 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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.