Active NPI
Pamela Sue Conn, ANP-C
- Adult Health Nurse Practitioner
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP2785
- Practice address
- 14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2705 - Phone
- (623) 544-6860
- NPI assigned
- Oct 23, 2007
- Last updated
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP2785 | AZ | Primary |
Addresses
Primary practice location
14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2705
Mailing address
14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2705
Phone (623) 544-6860
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2785 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Agency | Current | Accepting new patients | |
| Community Partners Integrated Healthcare, Inc. | Current | Accepting new patients | |
| Community Partners Integrated Healthcare Inc. | Current | Accepting new patients | |
| Community Partners Integrated Healthcare, Inc. | Current | Accepting new patients |
Locations
1107 S Gilbert Rd
Ste 104
Mesa, AZ 85204
Phone (602) 264-9891
10220 N 31st Ave
Ste 101
Phoenix, AZ 85051
Phone (602) 997-2233
1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000
3342 E Greenway Rd
Ste 108
Phoenix, AZ 85032
Phone (602) 275-2726
4337 W Indian School Rd
Ste 109110
Phoenix, AZ 85031
Phone (602) 233-9401
Interoperability endpoints
- pamela.conn.p1@direct.cpi.nextgenshare.com
Organizations & group practices 4
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.
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- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1558020503
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1346620358
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1255538732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1174712491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14674 W MOUNTAIN VIEW BLVD",
"address_2": "SUITE 200",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742705",
"telephone_number": "623-544-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14674 W MOUNTAIN VIEW BLVD",
"address_2": "SUITE 200",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742705",
"telephone_number": "623-544-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "PAMELA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP2785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.