Individual provider Active NPI

Susan Nathaniel, FNP

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1144110230
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
324460 Issued in AZ
Practice address
13203 N 103Rd Ave Ste I-5
Sun City, AZ 85351-3028
Phone
(623) 295-1190
Fax
(602) 429-8595
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 324460 AZ Primary
Ambulatory Care Registered Nurse 163WP2201X RN137203 AZ

Addresses

Primary practice location

13203 N 103Rd Ave Ste I-5
Sun City, AZ 85351-3028

Mailing address

PO Box 163
Tempe, AZ 85280-0163
Phone (623) 295-1190

Other practice location 1

400 N 32nd St
Phoenix, AZ 85008-6205
Phone (602) 914-2900

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
I20250811002915 AZ Practitioner - Nurse Practitioner 1658879432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare, LLC CurrentSince Jul 1, 2025 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Family PastSince Feb 1, 2025 Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1144110230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852800163",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE STE I-5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513028",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 32nd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850086205",
            "country_code": "US",
            "telephone_number": "602-914-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHANIEL",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "324460",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "RN137203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.