Individual provider Active NPI

Pamela Joann Edwards Haire, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1366993685
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN167471 Issued in AZ
Practice address
5750 W Thunderbird Rd
Ste. C-300
Glendale, AZ 85306-4660
Phone
(602) 938-2848
Fax
(602) 938-4401
NPI assigned
Oct 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN167471 AZ Primary

Addresses

Primary practice location

5750 W Thunderbird Rd
Ste. C-300
Glendale, AZ 85306-4660

Mailing address

5750 W Thunderbird Rd
Ste. C-300
Glendale, AZ 85306-4660
Phone (602) 938-2848

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
I20161123000629 AZ Practitioner - Nurse Practitioner 5799064382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10320 W McDowell Rd
Suite 8025
Avondale, AZ 85392-4872
Phone (855) 485-4673

10320 W McDowell Rd
Suite 9030
Avondale, AZ 85392-4874
Phone (480) 359-7384

10510 N 92ND St
Scottsdale, AZ 85258-4566

14674 W Mountain View Blvd
Surprise, AZ 85374-2707

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corporation CurrentSince Jun 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Mar 1, 2017 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Mar 1, 2017 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Scottsdale Healthcare Past Accepting new patients

Locations

10320 W McDowell Rd
Ste 9030
Avondale, AZ 85392
Phone (480) 359-7384

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

5750 W Thunderbird Rd
Ste C300
Glendale, AZ 85306
Phone (602) 368-3045

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

14674 W Mountain View Blvd
Ste 105
Surprise, AZ 85374
Phone (623) 238-7410

14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400

Interoperability endpoints

  • Direct secure messaging: phaire172811@direct.honorhealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1366993685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD",
            "address_2": "STE. C-300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064660",
            "telephone_number": "602-938-2848",
            "fax_number": "602-938-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD",
            "address_2": "STE. C-300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064660",
            "telephone_number": "602-938-2848",
            "fax_number": "602-938-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRE",
        "first_name": "PAMELA",
        "middle_name": "JOANN EDWARDS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN167471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.