Organization Active NPI

Elevate Seniors PLLC

  • Case Manager/Care Coordinator
  • Avondale, AZ
National Provider Identifier
1851796304
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ELEVATE SENIORS PLLC
Practice address
10320 W McDowell Rd Ste N1444
Avondale, AZ 85392-4879
Phone
(866) 888-7078
NPI assigned
Oct 27, 2014
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Dr. Walter N Simmons, MD, MPH, FACEPNPI 1023087293
Title
Chief Medical Officer
Phone
(480) 398-5555

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

10320 W McDowell Rd Ste N1444
Avondale, AZ 85392-4879

Mailing address

10320 W McDowell Rd
Suite N1444
Avondale, AZ 85392-4863
Phone (480) 398-5555

National Provider Directory

National Provider Directory

Locations

10320 W McDowell Rd
Ste N1
Avondale, AZ 85392

10320 W McDowell Rd
Ste N1444
Avondale, AZ 85392

14711 N 59th Ave
Glendale, AZ 85306

2919 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 935-5193

1807 S Sunview
Mesa, AZ 85206
Phone (480) 440-1031

207 N Mesa Dr
Mesa, AZ 85201

34434 S Y Camp Rd
Oracle, AZ 85623

222 E Olympic Dr
Phoenix, AZ 85042
Phone (602) 276-4246

3825 N 67th Ave
Phoenix, AZ 85033
Phone (602) 688-5325

5725 S Senator Hwy
Prescott, AZ 86303

750 Whipple St
Prescott, AZ 86301

28300 N Main St
San Tan Valley, AZ 85143

6869 E Shea Blvd
Scottsdale, AZ 85254
Phone (480) 269-5598

2900 N Columbus Blvd
Tucson, AZ 85712

401 S Prudence Rd
Tucson, AZ 85710

5085 S Nogales Hwy
Tucson, AZ 85706

60 W Alameda St
Tucson, AZ 85701
Phone (520) 623-5511

7770 N Shannon Rd
Tucson, AZ 85741

2550 S 4th Ave
Yuma, AZ 85364

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

Practitioners & affiliated clinicians

Practitioners 2

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": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1851796304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "SUITE N1444",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "480-398-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE N1444",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924879",
            "telephone_number": "866-888-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE SENIORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "480-398-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, FACEP"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.