Organization Active NPI

Emerald Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1295234615
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
EMERALD CARE PLLC
Practice address
5151 E Broadway Blvd Ste 1600
Tucson, AZ 85711-3777
Phone
(520) 314-1545
Fax
(520) 300-7326
NPI assigned
Feb 12, 2018
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Cynthia Abrams, RN
Title
Owner
Phone
(520) 314-1545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

5151 E Broadway Blvd Ste 1600
Tucson, AZ 85711-3777

Mailing address

6890 E Sunrise Dr # 120-305
Tucson, AZ 85750-0738
Phone (520) 314-1545

Other identifiers 2

IdentifierTypeStateIssuer
380316MedicaidAZ
1234567OtherVIRTUAL OFFICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cabrams@emeraldcareaz.com Direct

National Provider Directory

National Provider Directory

Locations

4014 E Pima St
Tucson, AZ 85712
Phone (520) 325-7327

4601 E 5th St
Tucson, AZ 85711
Phone (520) 327-0990

5390 E Erickson Dr
Ste A
Tucson, AZ 85712

6890 E Sunrise Dr
#120305
Tucson, AZ 85750

6890 E Sunrise Dr
Ste 120305
Tucson, AZ 85750

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1295234615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 E SUNRISE DR # 120-305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500738",
            "telephone_number": "520-314-1545",
            "fax_number": "520-300-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD STE 1600",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113777",
            "telephone_number": "520-314-1545",
            "fax_number": "520-300-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-314-1545",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380316",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRTUAL OFFICE",
            "identifier": "1234567",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cabrams@emeraldcareaz.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tucson",
            "address_1": "5151 E Broadway Blvd Ste 1600",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857113777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.