Active NPI
Marina Mary Reade, FNP
- Family Nurse Practitioner
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TAP5096
- Practice address
- 15875 W. Clubhouse Dr
Goodyear, AZ 85395 - Phone
- (623) 935-9242
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TAP5096 | AZ | Primary |
Addresses
Primary practice location
15875 W. Clubhouse Dr
Goodyear, AZ 85395
Mailing address
15875 W. Clubhouse Dr
Goodyear, AZ 85395
Phone (623) 935-9242
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10515 W Santa Fe Dr
BLDG B 1St Floor
Sun City, AZ 85351-3020
Phone (623) 832-6530
Hospital & facility affiliations
- Banner Thunderbird Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 71.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP5096 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Alzheimer'S Institute | Current | Accepting new patients | |
| Banner Alzheimer'S Institute | Current | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients |
Locations
901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901
901 E Willetta St
Phoenix, AZ 85006
Phone (602) 839-6900
901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900
10515 W Santa Fe Dr
Sun City, AZ 85351
Phone (623) 584-2919
10515 W Santa Fe Dr
Fl 1
Sun City, AZ 85351
10515 W Santa Fe Dr
Bldg B
Sun City, AZ 85351
Phone (623) 832-6500
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1013966712
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1730651738
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1124460795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15875 W. CLUBHOUSE DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "85395",
"telephone_number": "623-935-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15875 W. CLUBHOUSE DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "85395",
"telephone_number": "623-935-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READE",
"first_name": "MARINA",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "TAP5096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.