Organization Active NPI

Advance Practice Medical Services LLC

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1811535313
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ADVANCE PRACTICE MEDICAL SERVICES LLC
Practice address
13210 W Van Buren St Ste 100
Goodyear, AZ 85338-1164
Phone
(623) 295-2323
NPI assigned
Dec 15, 2019
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Dr. Rosa E Norris, DNPNPI 1306251327
Title
Director
Phone
(623) 295-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

13210 W Van Buren St Ste 100
Goodyear, AZ 85338-1164

Mailing address

13210 W Van Buren St Ste 100
Goodyear, AZ 85338-1164
Phone (623) 295-2323

Other practice location 1

4374 N 153rd Dr
Goodyear, AZ 85395-8392
Phone (623) 295-2323

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1811535313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 W VAN BUREN ST STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381164",
            "telephone_number": "623-295-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 W VAN BUREN ST STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381164",
            "telephone_number": "623-295-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4374 N 153rd Dr",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853958392",
            "country_code": "US",
            "telephone_number": "623-295-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCE PRACTICE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-15",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-295-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.