Organization Active NPI

Unicorn Wings

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1326867110
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
UNICORN WINGS
Practice address
1932 E Marilyn Rd
Phoenix, AZ 85022-3942
Phone
(480) 226-0998
Fax
(602) 603-5323
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Maria Radulovic, FNPNPI 1033570304
Title
FNP
Phone
(480) 226-0998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1932 E Marilyn Rd
Phoenix, AZ 85022-3942

Mailing address

1932 E Marilyn Rd
Phoenix, AZ 85022-3942
Phone (480) 226-0998

Other names 1

  • Radulovic Family Practice and Weight Loss Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1326867110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 E MARILYN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223942",
            "telephone_number": "480-226-0998",
            "fax_number": "602-603-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 E MARILYN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223942",
            "telephone_number": "480-226-0998",
            "fax_number": "602-603-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICORN WINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "RADULOVIC",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "480-226-0998",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radulovic Family Practice and Weight Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.