Individual provider Active NPI

Nicole Paige Murray, AG-ACNP

  • Gerontology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1427705656
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
264710 Issued in AZ
Practice address
9165 E del Camino Dr Ste 101
Scottsdale, AZ 85258-4381
Phone
(480) 569-2900
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 264710 AZ Primary

Addresses

Primary practice location

9165 E del Camino Dr Ste 101
Scottsdale, AZ 85258-4381

Mailing address

9165 E del Camino Dr Ste 101
Scottsdale, AZ 85258-4381
Phone (480) 434-6328

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
I20221229002478 AZ Practitioner - Nurse Practitioner 9133599566 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264710AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CND Life Sciences Inc CurrentSince Jan 19, 2025 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Sep 9, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 9, 2022 Accepting new patients

Locations

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

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

9165 E Del Camino Dr
Ste 101
Scottsdale, AZ 85258
Phone (480) 569-2900

7242 E Osborn Rd
Ste 400
Scottsdale, AZ 85251
Phone (480) 587-6145

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1427705656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 E DEL CAMINO DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584381",
            "telephone_number": "480-434-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 E DEL CAMINO DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584381",
            "telephone_number": "480-569-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "NICOLE",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "264710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.