Individual provider Active NPI

Cara Loveless-Faulkner

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1285352823
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
279195 Issued in AZ
Practice address
4600 E Shea Blvd
Phoenix, AZ 85028-6024
Phone
(602) 955-8700
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 279195 AZ Primary

Addresses

Primary practice location

4600 E Shea Blvd
Phoenix, AZ 85028-6024

Mailing address

4600 E Shea Blvd
Phoenix, AZ 85028-6024

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920003672 AZ Practitioner - Nurse Practitioner 1355726787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

20745 N Scottsdale Rd
Scottsdale, AZ 85255-6453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
279195AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Specialists LTD. CurrentSince Oct 1, 2022 Accepting new patients
Access Wellness Resources CurrentSince Apr 1, 2024 Accepting new patients
Sun Lakes Family Physicians LLC PastSince May 1, 2001 Accepting new patients

Locations

333 N Dobson Rd
Ste 15
Chandler, AZ 85224
Phone (480) 282-8336

7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442

4545 E Southern Ave
Ste 103
Mesa, AZ 85206
Phone (480) 827-9945

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208
Phone (480) 981-9800

4600 E Shea Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 955-8700

36543 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 401-1811

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450

Interoperability endpoints

  • Direct secure messaging: cara.loveless-faulkner.1@1482.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1482/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1285352823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286024",
            "telephone_number": "602-955-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELESS-FAULKNER",
        "first_name": "CARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "279195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.