Organization Active NPI

Sunrise Mobile Medical PLLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1174370696
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE MOBILE MEDICAL PLLC
Practice address
11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024
Phone
(480) 360-2282
Fax
(480) 631-0496
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Brenda Faith Geisler, NURSE PRACTITIONER
Title
Nurse Practitioner
Phone
(480) 650-6546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024

Mailing address

11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024
Phone (480) 360-2282

National Provider Directory

National Provider Directory

Locations

11209 N Tatum Blvd
Ste 140
Phoenix, AZ 85028
Phone (480) 360-2282

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1174370696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283024",
            "telephone_number": "480-360-2282",
            "fax_number": "480-631-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283024",
            "telephone_number": "480-360-2282",
            "fax_number": "480-631-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MOBILE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "GEISLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-650-6546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.