Organization Active NPI

The Elderly Advocate Inc.

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1396898458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN053710 Issued in AZ
Legal business name
THE ELDERLY ADVOCATE INC.
Practice address
4040 E McDowell Rd
Suite # 214
Phoenix, AZ 85008-4414
Phone
(602) 486-8155
Fax
(623) 587-0839
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharon Farris-Stern, M.S., A.G.N.P.
Title
Ceo-President
Phone
(602) 486-8155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X RN053710 AZ Primary

Addresses

Primary practice location

4040 E McDowell Rd
Suite # 214
Phoenix, AZ 85008-4414

Mailing address

PO Box 8306
Scottsdale, AZ 85252-8306
Phone (602) 486-8155

National Provider Directory

National Provider Directory

Locations

4040 E McDowell Rd
Ste 214
Phoenix, AZ 85008
Phone (602) 486-8155

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396898458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8306",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852528306",
            "telephone_number": "602-486-8155",
            "fax_number": "623-587-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD",
            "address_2": "SUITE # 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084414",
            "telephone_number": "602-486-8155",
            "fax_number": "623-587-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELDERLY ADVOCATE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRIS-STERN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "602-486-8155",
        "authorized_official_credential": "M.S., A.G.N.P."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RN053710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.