NPIMap

Organization Active NPI

Medi Weight Loss

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1184022683
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5642 Issued in AZ
Legal business name
MEDI WEIGHT LOSS
Practice address
15577 N Hayden Rd
#106
Scottsdale, AZ 85260-1958
Phone
(480) 596-4014
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Karen Zepeda
Title
Office Manager
Phone
(480) 596-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X AP5642 AZ Primary

Addresses

Primary practice location

15577 N Hayden Rd
#106
Scottsdale, AZ 85260-1958

Mailing address

15577 N Hayden Rd
#106
Scottsdale, AZ 85260-1958
Phone (480) 596-4014

National Provider Directory

National Provider Directory

Locations

15577 N Hayden Rd
Ste 106
Scottsdale, AZ 85260
Phone (480) 596-4014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1184022683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15577 N HAYDEN RD",
            "address_2": "#106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601958",
            "telephone_number": "480-596-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15577 N HAYDEN RD",
            "address_2": "#106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601958",
            "telephone_number": "480-596-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-596-4014"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5642",
            "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 Dec 15, 2014; 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.