Sonoita Sage Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ANP0071 Issued in AZ

Legal business name

SONOITA SAGE CLINIC

Practice address

3123 Hwy 83
Suite B
Sonoita, AZ 85637-0843

Phone

(520) 415-0330

Fax

(760) 705-8888

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine Marian Hooper, ANP/GNPNPI 1942256730

Title

NP/Medical Director

Phone

(520) 603-5151

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elaine Marian Hooper, ANP

  • Adult Health Nurse Practitioner
  • Reedsport, OR
  • NPI 1942256730
  NPD (past) Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1265841563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843 SUITE B",
            "address_2": "AZ HWY 83",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370843",
            "telephone_number": "520-415-0330",
            "fax_number": "760-705-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 HWY 83",
            "address_2": "SUITE B",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370843",
            "telephone_number": "520-415-0330",
            "fax_number": "760-705-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOITA SAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "MARIAN",
        "authorized_official_title_or_position": "NP/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-603-5151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP/GNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "ANP0071",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "ANP0071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Alejandro Lopez, D.C.
• Michael J. Killebrew Dentistry PLLC
• Old Pueblo Drug
• Physical Therapy of Sonoita
• RCHP-Sierra Vista Inc (Sonoita Family Health)
• Sonoita Sage Clinic, PLLC (Sonoita Sage Clinic)
• Sonoita-Elgin Fire District

• Health Service Clinic/Center in Sonoita, AZ
• Providers in Sonoita, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.