Individual provider Active NPI

Sherry L Booz, ANP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1174514111
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP4683 Issued in AZ
Practice address
9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439
Phone
(602) 445-0751
Fax
(602) 424-8128
NPI assigned
Oct 31, 2005
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP4683 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439

Mailing address

9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439
Phone (602) 445-0751

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
I20150512003119 AZ Practitioner - Nurse Practitioner 1759353915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

20401 N 73Rd St
Suite 210
Scottsdale, AZ 85255-4144
Phone (480) 882-7510

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4683AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp CurrentSince Feb 15, 2021 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Independence Neurosurgery Services LLC Past Accepting new patients

Locations

3198 N Windsong Dr
Prescott Vly, AZ 86314
Phone (480) 305-0034

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

Interoperability endpoints

  • Direct secure messaging: sbooz105048@direct.honorhealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1174514111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZ",
        "first_name": "SHERRY",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.