Arizona State University

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ARIZONA STATE UNIVERSITY

Doing business as

ASU Health Services Downtown NP Healthcare

Practice address

500 N 3Rd St
Suite 155
Phoenix, AZ 85004-2135

Phone

(602) 496-0721

Fax

(602) 496-0675

NPI assigned

Jan 2, 2007

Last updated

May 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ARIZONA STATE UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Diane L Perry, RNPNPI 1619165008

Title

Director

Phone

(602) 496-0665

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ASU Health Services Downtown NP Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Arizona State University

  dba ASU Breaking the Cycle Community Healthcare

  • Ambulatory Family Planning Facility
  • Phoenix, AZ
  • NPI 1164601811

  O20040721001291

  Same enrollment
• Arizona State University

  dba Escalante Health Center

  • Clinic/Center
  • Tempe, AZ
  • NPI 1194058917

  O20040721001291

  Same enrollment
• Arizona State University

  dba North Tempe Health Center

  • Clinic/Center
  • Tempe, AZ
  • NPI 1396072682

  O20040721001291

  Same enrollment
• Arizona State University

  dba NP Healthcare - Scottsdale

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1447439195

  O20040721001291

  Same enrollment
• Arizona State University

  • Audiologist
  • Tempe, AZ
  • NPI 1952338865

  O20040721001291

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Community Health Servic

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Lynnette Perry, NP C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1619165008
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1144387978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042135",
            "telephone_number": "602-496-0721",
            "fax_number": "602-496-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042135",
            "telephone_number": "602-496-0721",
            "fax_number": "602-496-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA STATE UNIVERSITY",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-496-0665",
        "authorized_official_credential": "RNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207841",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z21383",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASU Health Services Downtown NP Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona Sports and Spine Physicians, P.C.
• Arizona Sports Chiropractic
• Arizona Sports Medicine Consultants PC
• Arizona Star Health Services
• Arizona State Public Health Laboratory (ADHS Newborn Screening Program)
• Arizona State University (ASU Breaking the Cycle Community Healthcare)
• Arizona State University
• Arizona Sunrays, Inc.
• Arizona Sunrise Counseling
• Arizona Supportive Care, LLC

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.