NPIMap

Organization Active NPI

Modern Milk

  • Women's Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1164988515
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
MODERN MILK
Practice address
13802 N Scottsdale Rd Ste 162
Scottsdale, AZ 85254-3437
Phone
(480) 999-1585
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Stephanie Faye Nguyen, WHNPNPI 1588989370
Title
Owner
Phone
(480) 999-1585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU Primary

Addresses

Primary practice location

13802 N Scottsdale Rd Ste 162
Scottsdale, AZ 85254-3437

Mailing address

13802 N Scottsdale Rd Ste 162
Scottsdale, AZ 85254-3437
Phone (480) 999-1585

National Provider Directory

National Provider Directory

Locations

13802 N Scottsdale Rd
Ste 162
Scottsdale, AZ 85254
Phone (480) 699-8473

13802 N Scottsdale Rd
Ste 163
Scottsdale, AZ 85254
Phone (480) 401-1848

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1164988515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 N SCOTTSDALE RD STE 162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543437",
            "telephone_number": "480-999-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 N SCOTTSDALE RD STE 162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543437",
            "telephone_number": "480-999-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MILK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-999-1585",
        "authorized_official_credential": "WHNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.