Active NPI
Susan A Scott, FNP
- Family Nurse Practitioner
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN063566
- Practice address
- 13555 W McDowell Rd
Suite 103
Goodyear, AZ 85338-2624 - Phone
- (623) 932-1157
- Fax
- (623) 932-1045
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 | RN063566 | AZ | Primary |
Addresses
Primary practice location
13555 W McDowell Rd
Suite 103
Goodyear, AZ 85338-2624
Mailing address
4429 E Mitchell Dr
Phoenix, AZ 85018-6034
Phone (602) 957-7341
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13481 W McDowell Rd
Suite 200
Goodyear, AZ 85395-2720
Phone (480) 360-9092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN063566 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Sleep Physicians, Inc | Current | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Desert Valley Radiology, PLC | Past | Accepting new patients |
Locations
1120 S Dobson Rd
Rm Vsp
Chandler, AZ 85286
13481 W McDowell Rd
Ste 200
Goodyear, AZ 85395
Phone (480) 360-9092
13481 W McDowell Rd
Ste 200A
Goodyear, AZ 85395
4555 E Inverness Ave
Ste 112
Mesa, AZ 85206
Phone (480) 361-0110
3777 Crossings Dr
Ste C
Prescott, AZ 86305
Phone (480) 361-0110
9767 N 91st St
Rm Vsp
Scottsdale, AZ 85258
1790 E River Rd
Ste 130
Tucson, AZ 85718
Phone (480) 361-0110
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Mesa, AZ
- NPI 1265874630
-
- Neurology Physician
- Goodyear, AZ
- NPI 1285687822
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1841243037
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1457497604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4429 E MITCHELL DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850186034",
"telephone_number": "602-957-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 W MCDOWELL RD",
"address_2": "SUITE 103",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853382624",
"telephone_number": "623-932-1157",
"fax_number": "623-932-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN063566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.