Individual provider Active NPI

Courtney Standifird

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1023556578
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9878 Issued in AZ
Practice address
10450 W McDowell Rd Ste 101
Avondale, AZ 85392-4901
Phone
(623) 935-1000
NPI assigned
Feb 4, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP9878 AZ Primary

Addresses

Primary practice location

10450 W McDowell Rd Ste 101
Avondale, AZ 85392-4901

Mailing address

10450 W McDowell Rd Ste 101
Avondale, AZ 85392-4901
Phone (623) 935-1000

Other practice location 1

7571 W Molly Dr
Peoria, AZ 85383-6239
Phone (623) 693-4222

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
I20170504001546 AZ Practitioner - Nurse Practitioner 9335424795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G and K Medical Associates, P.C.Group PAC ID 4789668559, 7 clinicians

Practice addresses (Care Compare)

10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4802
Phone (623) 935-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9878AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G & K Medical Associates, P.C. CurrentSince Apr 1, 2017 Accepting new patients

Locations

10450 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 337-8811

Interoperability endpoints

  • Direct secure messaging: courtney.standifird@gandkmed.directbygreenway.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023556578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD STE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924901",
            "telephone_number": "623-935-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD STE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924901",
            "telephone_number": "623-935-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7571 W Molly Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853836239",
            "country_code": "US",
            "telephone_number": "623-693-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDIFIRD",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.