Active NPI
Nicole Renee Cortez, ED.S
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1043347586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2181 E McDowell Rd
Phoenix, AZ 85006-2430 - Phone
- (623) 381-4670
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
2181 E McDowell Rd
Phoenix, AZ 85006-2430
Mailing address
2702 E Flower St
Phoenix, AZ 85016-7461
Phone (602) 381-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174396 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton School District | Past | Accepting new patients | |
| County of Maricopa Creighton Elementary School | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1568508570
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1114251022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1043347586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 E FLOWER ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167461",
"telephone_number": "602-381-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2181 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062430",
"telephone_number": "623-381-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "NICOLE",
"middle_name": "RENEE",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174396",
"state": "AZ"
}
],
"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 Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.