Individual provider Active NPI

Karla D Wax, N.P.-C.

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1003042961
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AT3373 Issued in AZ
Practice address
1331 N 7TH St
Suite 275
Phoenix, AZ 85006-2754
Phone
(602) 254-3151
Fax
(602) 256-9581
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AT3373 AZ Primary

Addresses

Primary practice location

1331 N 7TH St
Suite 275
Phoenix, AZ 85006-2754

Mailing address

1331 N 7TH St
Suite 275
Phoenix, AZ 85006-2754
Phone (602) 254-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000190 AZ Practitioner - Nurse Practitioner 5799831053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

1875 W Frye Rd
Suite 300
Chandler, AZ 85224-6184
Phone (480) 917-5600

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AT3373AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Feb 17, 2020 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Feb 17, 2020 Accepting new patients

Locations

1875 W Frye Rd
Ste 300
Chandler, AZ 85224
Phone (480) 917-5600

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

Interoperability endpoints

  • Direct secure messaging: karla.wax.1@31799.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1003042961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE 275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-254-3151",
            "fax_number": "602-256-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE 275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-254-3151",
            "fax_number": "602-256-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAX",
        "first_name": "KARLA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AT3373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.