Individual provider Active NPI

Adrian Emil Stamp

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1295352334
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
243696 Issued in AZ
Practice address
12641 N 19TH St
Phoenix, AZ 85022-5735
Phone
(602) 703-1248
NPI assigned
Jul 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 243696 AZ Primary

Addresses

Primary practice location

12641 N 19TH St
Phoenix, AZ 85022-5735

Mailing address

12641 N 19TH St
Phoenix, AZ 85022-5735
Phone (602) 703-1248

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211208002599 AZ Practitioner - Nurse Practitioner 9032509930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Suite 301a
Mesa, AZ 85209-3322
Phone (480) 354-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Single Specialty Current Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 14, 2024 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Oct 14, 2024 Accepting new patients
Physician Group of Arizona Inc Single Specialty CurrentSince Mar 14, 2022 Accepting new patients
Physician Group of Arizona Inc CurrentSince Mar 14, 2022 Accepting new patients
Honorhealth Ambulatory Single Specialty Past Accepting new patients

Locations

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

10238 E Hampton Ave
Ste 301A
Mesa, AZ 85209
Phone (480) 354-5900

2122 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (480) 834-8804

16100 N 71st St
Ste 100
Scottsdale, AZ 85254
Phone (480) 656-0016

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1492 S Mill Ave
Ste 113
Tempe, AZ 85281
Phone (480) 257-2770

Interoperability endpoints

  • Direct secure messaging: astamp594209@direct.honorhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593820800000",
    "number": "1295352334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12641 N 19TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225735",
            "telephone_number": "602-703-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 N 19TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225735",
            "telephone_number": "602-703-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMP",
        "first_name": "ADRIAN",
        "middle_name": "EMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "243696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.