Active NPI
Matthew Gilbert Harding, FNP-BC
- Family Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1215399597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 219166
- Practice address
- 12133 W Bell Rd
Surprise, AZ 85378-9409 - Phone
- (623) 244-8797
- Fax
- (520) 423-3929
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 219166 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | 71006126A | IN |
Addresses
Primary practice location
12133 W Bell Rd
Surprise, AZ 85378-9409
Mailing address
18140 W North CT
Waddell, AZ 85355-4255
Phone (574) 780-1473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006126A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surprise Walk-in Care LLC | Current | Accepting new patients | |
| Surprise Care PLLC | Family | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Surprise, AZ
- NPI 1730042227
-
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1528720844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1215399597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18140 W NORTH CT",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853554255",
"telephone_number": "574-780-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12133 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789409",
"telephone_number": "623-244-8797",
"fax_number": "520-423-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDING",
"first_name": "MATTHEW",
"middle_name": "GILBERT",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "219166",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006126A",
"primary": false
}
],
"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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.