Individual provider Active NPI

Brittany Michelle Draklich

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1073237756
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
279363 Issued in AZ
Practice address
7111 E Bell Rd
Scottsdale, AZ 85254-5638
Phone
(866) 389-2727
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 279363 AZ Primary

Addresses

Primary practice location

7111 E Bell Rd
Scottsdale, AZ 85254-5638

Mailing address

5704 E Aire Libre Ave Unit 1223
Scottsdale, AZ 85254-1225
Phone (480) 720-5764

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
I20230111002919 AZ Practitioner - Nurse Practitioner 6204206022 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Pain and Wellness PLC CurrentSince May 1, 2024 Accepting new patients
Innovative Pain and Wellness PLC CurrentSince May 1, 2024 Accepting new patients

Locations

6553 E Baywood Ave
Ste 201
Mesa, AZ 85206
Phone (480) 206-7242

1277 E Missouri Ave
Ste 102
Phoenix, AZ 85014
Phone (480) 467-2273

5425 E Bell Rd
Ste 115
Scottsdale, AZ 85254
Phone (480) 467-2273

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone (480) 306-7242

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1073237756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 E AIRE LIBRE AVE UNIT 1223",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541225",
            "telephone_number": "480-720-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545638",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKLICH",
        "first_name": "BRITTANY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.