Organization Active NPI

Abundant Health Family Practice

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1568697282
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ABUNDANT HEALTH FAMILY PRACTICE
Practice address
2055 W Hospital Dr
Suite 295
Tucson, AZ 85704-7892
Phone
(520) 326-1457
Fax
(520) 326-1464
NPI assigned
May 26, 2009
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Rachel E Gordon, FNPCNPI 1780714477
Title
Co Owner
Phone
(520) 326-1457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2055 W Hospital Dr
Suite 295
Tucson, AZ 85704-7892

Mailing address

2055 W Hospital Dr
Suite 295
Tucson, AZ 85704-7892
Phone (520) 326-1457

National Provider Directory

National Provider Directory

Locations

2055 W Hospital Dr
Ste 295
Tucson, AZ 85704
Phone (520) 219-9125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1568697282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "SUITE 295",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-326-1457",
            "fax_number": "520-326-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "SUITE 295",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-326-1457",
            "fax_number": "520-326-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "520-326-1457",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Aug 23, 2013; 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.