Sonoita Sage Clinic, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AP6266 Issued in AZ

Legal business name

SONOITA SAGE CLINIC, PLLC

Doing business as

Sonoita Sage Clinic

Practice address

3123 Arizona Hwy 83 B
Sonoita, AZ 85637

Phone

(520) 415-0330

NPI assigned

Sep 25, 2014

Last updated

Oct 6, 2014By 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

Mrs. Elaine Marian Hooper, ANP/GNP, BCNPI 1942256730

Title

Medical Director

Phone

(520) 415-0330

Specialties & licenses 1

Addresses

Other names 1

• Sonoita Sage Clinic Doing business as

Locations

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.

• Elaine Marian Hooper, ANP

  • Adult Health Nurse Practitioner
  • Reedsport, OR
  • NPI 1942256730
  Authorized official Same address or phone

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1720480312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370843",
            "telephone_number": "520-415-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 ARIZONA HWY 83 B",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "85637",
            "telephone_number": "520-415-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOITA SAGE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "MARIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-415-0330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP/GNP, BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "AP6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoita Sage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J. Killebrew Dentistry PLLC
• Old Pueblo Drug
• Physical Therapy of Sonoita
• RCHP-Sierra Vista Inc (Sonoita Family Health)
• Sonoita Sage Clinic
• Sonoita-Elgin Fire District

• Clinic/Center in Sonoita, AZ
• Providers in Sonoita, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.