Individual provider Active NPI

Carrie Marie Mattie, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1134465008
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4793 Issued in AZ
Practice address
2141 E Warner Rd
Tempe, AZ 85284-3493
Phone
(480) 855-5886
Fax
(480) 855-1108
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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 AP4793 AZ Primary

Addresses

Primary practice location

2141 E Warner Rd
Tempe, AZ 85284-3493

Mailing address

9250 N 3Rd St
Suite 4010
Phoenix, AZ 85020-2432
Phone (480) 855-5886

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
I20130221000017 AZ Practitioner - Nurse Practitioner 0749435840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1110 S Dobson Rd
Suite 1
Chandler, AZ 85286-6164
Phone (855) 485-4673

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jun 1, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Mar 2, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Scottsdale Healthcare Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

1110 S Dobson Rd
Ste 1
Chandler, AZ 85286
Phone (623) 238-7540

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: cmattie170480@direct.honorhealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1134465008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 4010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202432",
            "telephone_number": "480-855-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E WARNER RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843493",
            "telephone_number": "480-855-5886",
            "fax_number": "480-855-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIE",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.