Absolute Rehabilitation and Pain Medicine PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ABSOLUTE REHABILITATION AND PAIN MEDICINE PLLC

Practice address

7320 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7453

Phone

(480) 502-0250

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Jessica Webb

Title

Ceo

Phone

(480) 502-0250

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nichole Theresa Brown, DNP, PMHNP-C, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1225364227

  AZ, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Carolynn Eastin, FNP-BC

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1386763019

  AZ, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Inna Ablyaeva, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1134600133

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Christy Rene Carner, NP

  • Acute Care Nurse Practitioner
  • Payson, AZ
  • NPI 1184255739

  AZ

  Medicare reassignment NPD
• Raymond H Ketcham, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1285108514

  AZ, Pain Medicine

  Medicare reassignment NPD
• Renae Tylynne Mitchell, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1205432705

  Addiction Medicine, AZ

  Medicare reassignment NPD
• Leann Vanduyn, NP-C

  • Family Nurse Practitioner
  • Casa Grande, AZ
  • NPI 1235591546

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Tarry Annette Wolfe, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Apache Junction, AZ
  • NPI 1982655338

  AZ, Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1730699281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557453",
            "telephone_number": "480-502-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557453",
            "telephone_number": "480-502-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013020",
            "country_code": "US",
            "telephone_number": "480-502-0250",
            "fax_number": "480-596-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABSOLUTE REHABILITATION AND PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-502-0250"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrazo Medical Group Urgent Care LLC
• Shawn David Abreu, MD
• Michael Abril
• Martha Chau Abruzzese, FNP-BC
• Absolute Health LLC
• Absolutely Able Home Care
• Absolutely Able Home Care and Home Health of Scottsdale Inc
• Absolutely Able Home Care of Scottsdale Inc.
• Bassam G. Abu Jawdeh, MD
• Ghassan Ibrahim Abuelian, PMHNP

• All providers in Scottsdale, AZ
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.