Active NPI
Sung Son, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8224
- Practice address
- 4430 E Ray Rd
Phoenix, AZ 85044-6092 - Phone
- (180) 038-9272
- NPI assigned
- Nov 12, 2015
- Last updated
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP8224 | AZ | Primary |
Addresses
Primary practice location
4430 E Ray Rd
Phoenix, AZ 85044-6092
Mailing address
16160 S 50TH St Apt 203
Phoenix, AZ 85048-0455
Phone (480) 321-5227
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4430 E Ray Rd
Phoenix, AZ 85044-6092
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097
6015 E Brown Rd
Mesa, AZ 85205
Phone (480) 325-5869
4430 E Ray Rd
Phoenix, AZ 85044
Phone (480) 466-6596
10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1437522489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16160 S 50TH ST APT 203",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480455",
"telephone_number": "480-321-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 E RAY RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446092",
"telephone_number": "180-038-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SON",
"first_name": "SUNG",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 6, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.