Individual provider Active NPI

Aster Moriah Antolik, RN

  • School Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1295212603
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN209316 Issued in AZ
Practice address
16555 N 99TH PL
Scottsdale, AZ 85260-2366
Phone
(985) 778-1087
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN209316 AZ Primary

Addresses

Primary practice location

16555 N 99TH PL
Scottsdale, AZ 85260-2366

Mailing address

16555 N 99TH PL
Scottsdale, AZ 85260-2366
Phone (985) 778-1087

Other names 1

  • Ms. Aster Moriah Greathouse Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN209316AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1295212603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16555 N 99TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602366",
            "telephone_number": "985-778-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 N 99TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602366",
            "telephone_number": "985-778-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOLIK",
        "first_name": "ASTER",
        "middle_name": "MORIAH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN209316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASTER",
            "last_name": "GREATHOUSE",
            "middle_name": "MORIAH",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.