NPIMap

Organization Active NPI

Cardiac Care Consultants, PC

  • Specialist
  • Peoria, AZ
National Provider Identifier
1003808262
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIAC CARE CONSULTANTS, PC
Practice address
13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4915
Phone
(623) 815-2484
Fax
(623) 815-2483
NPI assigned
Aug 15, 2005
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
Kathleen Nicchi
Title
Administrator
Phone
(623) 815-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4915

Mailing address

13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4915
Phone (623) 815-2484

National Provider Directory

National Provider Directory

Locations

13634 N 93rd Ave
Peoria, AZ 85381
Phone (623) 815-2484

6750 W Thunderbird Rd
Ste B1
Peoria, AZ 85381

14420 W Meeker Blvd
Bldg A305
Sun City West, AZ 85375

14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049

519 Rose Ln
Bldg 1
Wickenburg, AZ 85390

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1003808262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "623-815-2484",
            "fax_number": "623-815-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "623-815-2484",
            "fax_number": "623-815-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CARE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "NICCHI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-815-2484"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, 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.