Active NPI
Brenda Harding, FNP-C
- Family Nurse Practitioner
- Queen Creek, AZ
National Provider Identifier
1194074179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4673
- Practice address
- 22717 S Ellsworth Rd
Suite B101
Queen Creek, AZ 85142-6127 - Phone
- (480) 306-5650
- Fax
- (480) 986-4300
- NPI assigned
- Sep 5, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TAP4673 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP4673 | AZ | Primary |
| Family Health Clinical Nurse Specialist | 364SF0001X | RN159911 | AZ |
Addresses
Primary practice location
22717 S Ellsworth Rd
Suite B101
Queen Creek, AZ 85142-6127
Mailing address
85 W Combs Rd
Suite 101-196
San Tan Valley, AZ 85140-9105
Phone (480) 306-5650
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22717 S Ellsword Rd
Suite B101
Queen Creek, AZ 85142-7572
Phone (480) 306-5650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4673 | AZ | MD | Family Nurse Practitioner |
| TAP4673 | AZ | MD | Family Nurse Practitioner |
| RN159911 | AZ | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Queen Creek, AZ
- NPI 1902214679
-
- Primary Care Clinic/Center
- Queen Creek, AZ
- NPI 1477305233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1194074179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 W COMBS RD",
"address_2": "SUITE 101-196",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851409105",
"telephone_number": "480-306-5650",
"fax_number": "480-986-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22717 S ELLSWORTH RD",
"address_2": "SUITE B101",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426127",
"telephone_number": "480-306-5650",
"fax_number": "480-986-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDING",
"first_name": "BRENDA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "TAP4673",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4673",
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "AZ",
"license": "RN159911",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.
- 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.