Nadine Lollie, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN199310 Issued in AZ

Practice address

15263 S 14TH PL
Phoenix, AZ 85048-6260

Phone

(248) 894-4039

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Private Suite Home Care Agency, LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
  • NPI 1518486315
  NPD (past) Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235654443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15263 S 14TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486260",
            "telephone_number": "248-894-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15263 S 14TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486260",
            "telephone_number": "248-894-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLIE",
        "first_name": "NADINE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN199310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Lohrenz, LBA, BCBA
• Eric Aanund Loiland, DPT DOCTOR OF PHYSIC
• Carol J Lokare
• Akil I Loli, MD
• Ryan Lollar
• Winifred Stacy Lom, MS OTR/L
• Lance Lombard
• Kharah L Lombardi, O.T.
• Marisa Switzer Lombardi, LAC
• Rachel C Lombardo, M.D.

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.