Active NPI
Susan Murphy, FNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7984
- Practice address
- 2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574 - Phone
- (928) 683-1170
- NPI assigned
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7984 | AZ | Primary |
Addresses
Primary practice location
2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574
Mailing address
2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574
Phone (928) 683-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106809 | Medicaid | AZ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brdshwmtfmed@protonmail.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | myiridescence@protonmail.com | Other |
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
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7984 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Virtual Care LLC | Current | Accepting new patients | |
| Community Medical Services Arizona-Private, LLC | Current | Accepting new patients | |
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| Community Medical Services Arizona-Private, LLC | Past | Accepting new patients |
Locations
5002 W Glendale Ave
Ste 101102
Glendale, AZ 85301
5002 W Glendale Ave
Ste 1
Glendale, AZ 85301
6915 E Main St
Ste 200
Mesa, AZ 85207
262 E University Dr
Mesa, AZ 85201
Phone 60280828005539
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474
10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340
4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220
10830 N 71st Pl
Ste 105
Scottsdale, AZ 85254
Phone (480) 206-5619
Interoperability endpoints
- susan.murphy.p1@direct.lifewell.nextgenshare.com
- susan.murphy@57560418353156.direct.elationemr.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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417050337
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1548994072
-
- Family Nurse Practitioner
- Dewey, AZ
- NPI 1902262272
-
dba Community Medical Services-Glendale
- Methadone Clinic
- Glendale, AZ
- NPI 1053474148
-
dba Community Medical Services Phoenix on University
- Methadone Clinic
- Phoenix, AZ
- NPI 1942892856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1205239324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 W BASELINE RD STE 182-549",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416574",
"telephone_number": "928-683-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 W BASELINE RD STE 182-549",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416574",
"telephone_number": "928-683-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "SUSAN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106809",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brdshwmtfmed@protonmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1163 Old Chisholm Trail",
"address_2": "Suite C",
"city": "Dewey",
"state": "AZ",
"country_code": "US",
"postal_code": "863272314",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "myiridescence@protonmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "business email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "2030 W Baseline Rd Ste 182-549",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850416574",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.