Active NPI
Carrie Marie Mattie, NP
- Family Nurse Practitioner
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4793
- 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
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 | 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
Enrollment records 1
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
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
- Chandler Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1013531268
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
- NPI 1750762647
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
-
- Corporate Health Clinic/Center
- Scottsdale, AZ
- NPI 1447402870
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.