Palm Valley Medical Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PALM VALLEY MEDICAL SERVICES, LLC

Practice address

15749 W Vernon Ave
Goodyear, AZ 85395-7534

Phone

(602) 810-5178

Fax

(623) 321-6489

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Garcia Rodriguez, FNP-CNPI 1184123788

Title

FNP-C

Phone

(602) 810-5178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Jennifer Garcia Rodriguez

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1184123788
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1609604461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15749 W VERNON AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957534",
            "telephone_number": "602-810-5178",
            "fax_number": "623-321-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15749 W VERNON AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957534",
            "telephone_number": "602-810-5178",
            "fax_number": "623-321-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA RODRIGUEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "602-810-5178",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Danielle Pagano, RN
• Joann Pagano, LPN
• Paincare of Arizona II, LLC
• Juan Carlos Pallares-Salazar, CRNA
• Palm Valley Healthcare, LLC (Palm Valley Post Acute)
• Palm Valley Oral Surgery
• Palm Valley Pediatric Dentistry
• Palm Valley Senior Living LLC
• Palm Valley Women's Care, PLC
• Palm View Health and Wellness LLC (Algamus)

• Family Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.