Individual provider Active NPI

Jennifer Diane Prince, APRN, FNP-C, CANS

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1457123499
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
299306 Issued in AZ
Practice address
8580 E Shea Blvd Ste 140
Scottsdale, AZ 85260-6681
Phone
(480) 822-0766
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 299306 AZ Primary

Addresses

Primary practice location

8580 E Shea Blvd Ste 140
Scottsdale, AZ 85260-6681

Mailing address

8580 E Shea Blvd Ste 140
Scottsdale, AZ 85260-6681
Phone (480) 822-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299306AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1457123499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 E SHEA BLVD STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606681",
            "telephone_number": "480-822-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 E SHEA BLVD STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606681",
            "telephone_number": "480-822-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "APRN, FNP-C, CANS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "299306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.