Organization Active NPI

Adult Medical Care PLLC

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1942916200
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ADULT MEDICAL CARE PLLC
Practice address
611 E McKellips Rd
Mesa, AZ 85203-2534
Phone
(480) 264-0723
Fax
(480) 428-8678
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Ruth Anne Young, NPNPI 1942595830
Title
Owner
Phone
(480) 264-0723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

611 E McKellips Rd
Mesa, AZ 85203-2534

Mailing address

611 E McKellips Rd
Mesa, AZ 85203-2534
Phone (480) 264-0723

National Provider Directory

National Provider Directory

Locations

611 E McKellips Rd
Mesa, AZ 85203
Phone (480) 264-0723

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1942916200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032534",
            "telephone_number": "480-264-0723",
            "fax_number": "480-428-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032534",
            "telephone_number": "480-264-0723",
            "fax_number": "480-428-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-264-0723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.