Individual provider Active NPI

Sukran Hong, FNP-BC

  • Family Nurse Practitioner
  • Laveen, AZ
National Provider Identifier
1114755410
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
311951 Issued in AZ
Practice address
8821 S 40TH Dr
Laveen, AZ 85339-7809
Phone
(480) 231-7778
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 311951 AZ Primary

Addresses

Primary practice location

8821 S 40TH Dr
Laveen, AZ 85339-7809

Mailing address

8821 S 40TH Dr
Laveen, AZ 85339-7809
Phone (480) 231-7778

Other names 1

  • Suk Ran Hong Other name

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
I20240910003673 AZ Practitioner - Nurse Practitioner 9234679853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Rehab Consultants LLCGroup PAC ID 4385023159, 15 clinicians

Practice addresses (Care Compare)

1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (602) 594-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311951AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Az Rehab Consultants, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

1675 E Villa St
Phoenix, AZ 85006
Phone (480) 801-6700

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1114755410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 S 40TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397809",
            "telephone_number": "480-231-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 S 40TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397809",
            "telephone_number": "480-231-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "SUKRAN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "311951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUK",
            "last_name": "HONG",
            "middle_name": "RAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.