Geriatric Health Services, PLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP1189 Issued in AZ

Legal business name

GERIATRIC HEALTH SERVICES, PLC

Practice address

1013 W Longhorn Rd
Payson, AZ 85541-4282

Phone

(602) 616-1332

Fax

(928) 474-8947

NPI assigned

Feb 7, 2013

Organization subpart

Yes

Parent organization

LOIS MARION JUDDAs reported in NPPES

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

Authorized official

Name

Lois Marion Judd, GNP

Title

Owner/Manager

Phone

(602) 616-1332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508105727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W LONGHORN RD",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414282",
            "telephone_number": "602-616-1332",
            "fax_number": "928-474-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W LONGHORN RD",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414282",
            "telephone_number": "602-616-1332",
            "fax_number": "928-474-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC HEALTH SERVICES, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOIS MARION JUDD",
        "enumeration_date": "2013-02-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-616-1332",
        "authorized_official_credential": "GNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Payson, AZ
• Providers in Payson, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.