Individual provider Active NPI

Samantha Teel, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1033799465
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP256476 Issued in AZ
Practice address
7517 S McClintock Dr Ste 103
Tempe, AZ 85283-5011
Phone
(602) 610-7337
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 RNP256476 AZ Primary

Addresses

Primary practice location

7517 S McClintock Dr Ste 103
Tempe, AZ 85283-5011

Mailing address

3433 E Bluebird PL
Chandler, AZ 85286-5638

Other practice location 1

3433 E Bluebird Pl
Chandler, AZ 85286-5638
Phone (480) 619-2972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP256476AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics Healthcare Associates CurrentSince Jan 8, 2023 Accepting new patients
Leading Edge Medical CurrentSince Dec 16, 2021 Accepting new patients
Recovery Chiropractic PastSince Dec 16, 2021 Accepting new patients

Locations

1530 S Val Vista Dr
Ste 106
Gilbert, AZ 85296
Phone (480) 664-6061

7517 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (602) 610-7337

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22523/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1033799465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 E BLUEBIRD PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 S MCCLINTOCK DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835011",
            "telephone_number": "602-610-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3433 E Bluebird Pl",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852865638",
            "country_code": "US",
            "telephone_number": "480-619-2972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEEL",
        "first_name": "SAMANTHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP256476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.