Pedersen Primary Care, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7572 Issued in AZ

Legal business name

PEDERSEN PRIMARY CARE, LLC

Practice address

290 S Alma School Rd
# 5 A
Chandler, AZ 85224-7631

Phone

(480) 659-5013

Fax

(480) 659-2057

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Caren C Pedersen, NP-C

Title

Family Nurse Practioner/FNP

Phone

(602) 625-6286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1770027179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD",
            "address_2": "# 5 A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247631",
            "telephone_number": "480-659-5013",
            "fax_number": "480-659-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD",
            "address_2": "# 5 A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247631",
            "telephone_number": "480-659-5013",
            "fax_number": "480-659-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDERSEN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "CAREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTIONER/FNP",
        "authorized_official_telephone_number": "602-625-6286",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Pearson, PHD
• Patresha Pamella Pearson, MSN BSN RN
• Sara Marie Pechotta, PHARM.D.
• Miriam Peck
• Pecos Health Care Limited Ptrshp
• Caron Constance Pedersen, NP-C
• Ulyssa Pedroza-Fernandez
• Peggy J Bair, Rnfa, LLC
• Daniel Adam Pelletier, PHARMD
• Stefanie Pelletier, PHARM.D.

• Family Nurse Practitioner in Chandler, AZ
• Providers in Chandler, 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 Feb 22, 2017; 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.