Individual provider Active NPI

Patricia Li, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1003579830
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265810 Issued in AZ
Practice address
15425 N Greenway Hayden Loop Ste A300
Scottsdale, AZ 85260-1204
Phone
(480) 607-1124
Fax
(480) 607-1087
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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 265810 AZ Primary

Addresses

Primary practice location

15425 N Greenway Hayden Loop Ste A300
Scottsdale, AZ 85260-1204

Mailing address

15425 N Greenway Hayden Loop Ste A300
Scottsdale, AZ 85260-1204
Phone (602) 301-4301

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
I20211130002597 AZ Practitioner - Nurse Practitioner 5698165983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Family Physicians LTDGroup PAC ID 2062497936, 8 clinicians

Practice addresses (Care Compare)

15425 N Greenway Hayden Loop
Suite A300
Scottsdale, AZ 85260-1204
Phone (480) 607-1124

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Family Physicians LTD CurrentSince Oct 4, 2021 Accepting new patients
Footcare Center - Dr. Mark Gorman, PC Past Accepting new patients

Locations

4350 N 19th Ave
Ste 2
Phoenix, AZ 85015
Phone (602) 661-0666

4350 N 19th Ave
Ste 6
Phoenix, AZ 85015
Phone (480) 607-1124

15425 N Greenway Hayden Loop
Scottsdale, AZ 85260
Phone (480) 998-6079

15425 N Greenway Hayden Loop
Ste A300
Scottsdale, AZ 85260
Phone (480) 607-1124

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCFCA/Endpoint/AFCFCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1003579830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601204",
            "telephone_number": "602-301-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601204",
            "telephone_number": "480-607-1124",
            "fax_number": "480-607-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.