Organization Active NPI

Healthy Outlook Family Medicine, PC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023161825
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHY OUTLOOK FAMILY MEDICINE, PC
Practice address
1835 W Missouri Ave
Phoenix, AZ 85015-3046
Phone
(602) 230-0777
Fax
(602) 230-0008
NPI assigned
Jan 18, 2007
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Susan WhitelyNPI 1427013762
Title
Medical Director
Phone
(602) 230-0777

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1835 W Missouri Ave
Phoenix, AZ 85015-3046

Mailing address

1835 W Missouri Ave
Phoenix, AZ 85015-3046
Phone (602) 230-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040327000316 AZ Part B Supplier - Clinic/Group Practice 2466344023 Receives reassigned benefits from 8 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

18555 N 79th Ave
Ste B108
Glendale, AZ 85308
Phone (623) 376-0300

333 W Thomas Rd
Ste 208
Phoenix, AZ 85013

Practitioners & affiliated clinicians

Practitioners 8

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1023161825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153046",
            "telephone_number": "602-230-0777",
            "fax_number": "602-230-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153046",
            "telephone_number": "602-230-0777",
            "fax_number": "602-230-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY OUTLOOK FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "WHITELY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-230-0777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.