Nicole Denise Sundene, NMD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10-1202 Issued in AZ

Practice address

11673 N Saguaro Blvd
Fountain Hills, AZ 85268-4630

Phone

(480) 837-2600

Fax

(480) 837-2211

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smith Family Chiropractic LLC

  • Chiropractor
  • Fountain Hills, AZ
  • NPI 1144570482
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1083924666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684630",
            "telephone_number": "480-837-2600",
            "fax_number": "480-837-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684630",
            "telephone_number": "480-837-2600",
            "fax_number": "480-837-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDENE",
        "first_name": "NICOLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "10-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Strimbu, LSC
• Student Therapies and Resource Services
• Michele Marie Stumpf, SLP
• Marc D Sullivan, M.D.
• Sun Valley Ultrasound LLC
• Sunrise Assisted Living Facility
• Cori Sutter
• Jennifer Ashley Swenson, SLPA
• Sykes Homecare LLC
• Claudia Elizabeth Syson, MS

• Family Medicine Physician in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.