Individual provider Active NPI

Susan A Scott, FNP

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1457497604
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN063566 Issued in AZ
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

Updated by the provider on Nov 16, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000607 AZ Practitioner - Nurse Practitioner 7911972948 Reassigns benefits to 2 organizations

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
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians

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

LicenseStateTypeSpecialty
RN063566AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Sleep Physicians, Inc CurrentSince Oct 31, 2023 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.

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

Verify at the official NPI Registry.