Mobile NP PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOBILE NP PLLC

Practice address

5807 E Vernon Ave
Scottsdale, AZ 85257-1941

Phone

(602) 935-7003

NPI assigned

Sep 7, 2020

Last updated

Sep 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Serrano

Title

Access Manager

Phone

(480) 907-9900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Heidi A Jackson, ARNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1508942954
  Medicare reassignment NPD

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1184238164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 E VERNON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 E VERNON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571941",
            "telephone_number": "602-935-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "480-907-9900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heidi_jackson@hotmail.com",
            "affiliation": "N",
            "address_1": "5807 E Vernon Ave",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852571941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• MMT Surgical PC
• Moataz Karawi D.D.S L,L,C
• Carolyn C Moats, M.D.
• Mobile Diagnostics
• Mobile Medical Diagnostics LLC
• Mobile Physical Therapy, Inc.
• Mobileonedocs, LLC
• Mobility Overstock LLC.
• Jill Mobley
• Mod Dentistry of Scottsdale

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.