NPIMap

Organization Active NPI

Advanced Dermal Solutions, PLLC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1477091262
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7921 Issued in AZ
Legal business name
ADVANCED DERMAL SOLUTIONS, PLLC
Practice address
6655 N Canyon Crest Dr
Apt 5123
Tucson, AZ 85750-0938
Phone
(520) 730-2534
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Ms. Christine Parks
Title
Owner
Phone
(520) 703-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP7921 AZ Primary

Addresses

Primary practice location

6655 N Canyon Crest Dr
Apt 5123
Tucson, AZ 85750-0938

Mailing address

6655 N Canyon Crest Dr
Apt 5123
Tucson, AZ 85750-0938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1477091262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 N CANYON CREST DR",
            "address_2": "APT 5123",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 N CANYON CREST DR",
            "address_2": "APT 5123",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500938",
            "telephone_number": "520-730-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMAL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-703-2534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 1, 2017; 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.