Individual provider Active NPI

Paula Jill Purtee, RNP

  • Registered Nurse
  • Avondale, AZ
National Provider Identifier
1154389195
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R43547 Issued in NM
Practice address
10750 W McDowell Rd
Suite G700
Avondale, AZ 85392-5960
Phone
(623) 873-0321
Fax
(623) 849-9623
NPI assigned
May 1, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R43547 NM Primary

Addresses

Primary practice location

10750 W McDowell Rd
Suite G700
Avondale, AZ 85392-5960

Mailing address

10750 W McDowell Rd
Suite G700
Avondale, AZ 85392-5960
Phone (623) 873-0321

Other identifiers 2

IdentifierTypeStateIssuer
518948MedicaidAZ
T8613MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R43547NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Pediatrics, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ppurtee@wvpeds.directbygreenway.com

Organizations & group practices 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1154389195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "address_2": "SUITE G700",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960",
            "telephone_number": "623-873-0321",
            "fax_number": "623-849-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "address_2": "SUITE G700",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960",
            "telephone_number": "623-873-0321",
            "fax_number": "623-849-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTEE",
        "first_name": "PAULA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R43547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518948",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T8613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.