Nazarene Restoration House

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

NAZARENE RESTORATION HOUSE

Practice address

2450 W Glenrosa Ave Unit 24
Phoenix, AZ 85015-4989

Phone

(602) 612-4837

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Davis

Title

Administrator

Phone

(602) 612-4837

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1760193742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W GLENROSA AVE UNIT 24",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154989",
            "telephone_number": "602-612-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W GLENROSA AVE UNIT 24",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154989",
            "telephone_number": "602-612-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARENE RESTORATION HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-612-4837",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Navratil, MD
• Stefan Shahram Nawab, M.D.
• Noah Lee Ahmad Nawabi
• Azhar Nawaz, PHARMD
• Anjali B Nayak, M.D.
• Andrea Nazareno
• Ivette Nazario, R.N.
• Mishel Nazarko, PHARMD
• Hermine Nazikian, APRN
• Khaja Nazimuddin, PHARMACIST

• Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.