Stephanie Rae Duffy, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

266165 Issued in AZ

Practice address

6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569

Phone

(623) 547-4668

Fax

(623) 535-7869

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Akdhc, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208
  Medicare reassignment NPD
• Amardeep S Majhail MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Surprise, AZ
  • NPI 1558745380
  Medicare reassignment NPD
• Akdhc Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1346469731
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Bullhead City, AZ
  • NPI 1487140539
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Glendale, AZ
  • NPI 1518156942
  NPD
• Kankakee Valley Dialysis Network

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manteno, IL
  • NPI 1730250234
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1417429796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-224-3315",
            "fax_number": "602-224-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "623-547-4668",
            "fax_number": "623-535-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "IL",
            "license": "209018586",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "266165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Dubets, D.O.
• Caren Ducharme, L.AC.
• Lauren Ashley Duda, RDN
• Darcy Dudleston Bracamonte, LIAC, LPC
• Juliah Chebet Dudley
• Meg Dufour, MA, LAC
• Alyssa Dawn Duguay, MA, BCBA
• Joseph Reed Duke
• Laura Margaret Duke
• Jason Dumitru, MS

• Adult Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.