Individual provider Active NPI

Donna Marie Phelps, LPN

  • Licensed Practical Nurse
  • Scottsdale, AZ
National Provider Identifier
1104158138
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP023306 Issued in AZ
Practice address
4250 N Drinkwater Blvd
Suite 165
Scottsdale, AZ 85251-3981
Phone
(480) 444-7800
Fax
(480) 444-7769
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP023306 AZ Primary

Addresses

Primary practice location

4250 N Drinkwater Blvd
Suite 165
Scottsdale, AZ 85251-3981

Mailing address

4250 N Drinkwater Blvd
Suite 165
Scottsdale, AZ 85251-3981
Phone (480) 444-7800

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

State licenses

LicenseStateTypeSpecialty
LP023306AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alarys Home Health, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1104158138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N DRINKWATER BLVD",
            "address_2": "SUITE 165",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513981",
            "telephone_number": "480-444-7800",
            "fax_number": "480-444-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N DRINKWATER BLVD",
            "address_2": "SUITE 165",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513981",
            "telephone_number": "480-444-7800",
            "fax_number": "480-444-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP023306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.