Gloria Lisa Ford, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN075909 Issued in AZ

Practice address

16752 N Greasewood St
Surprise, AZ 85378-3639

Phone

(623) 584-4999

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sun City Area Interfaith Services, Inc

  dba Benevilla

  • Adult Day Care Clinic/Center
  • Surprise, AZ
  • NPI 1144675307
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1275142432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17440 N MELISSA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744801",
            "telephone_number": "623-297-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16752 N GREASEWOOD ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783639",
            "telephone_number": "623-584-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GLORIA",
        "middle_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN075909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot & Ankle Specialists of Arizona PLLC
• Foot & Ankle Specialists of Arizona PLLC
• Foothills Sports Medicine & Rehabilitation - Sun City, LLC
• Foothills Sports Medicine & Rehabilitation-Surprise, LLC
• For Life Services-Community Care, LLC
• Scarlett Dawn Fortson, RBT
• Brian Lee Foster, PA-C
• Kayla Holland Foster, MA, BCBA, LBA
• Elpida Georgios Fountas
• Darlene Fowler, O.D.

• Registered Nurse in Surprise, AZ
• Providers in Surprise, 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 23, 2020; 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.