Individual provider Active NPI

Debra Goldman, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1457904252
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227871 Issued in AZ
Practice address
7920 E Thompson Peak Pkwy Ste 100
Scottsdale, AZ 85255-7402
Phone
(480) 401-1628
NPI assigned
Jul 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 227871 AZ Primary

Addresses

Primary practice location

7920 E Thompson Peak Pkwy Ste 100
Scottsdale, AZ 85255-7402

Mailing address

7920 E Thompson Peak Pkwy Ste 100
Scottsdale, AZ 85255-7402
Phone (623) 466-6350

Other practice location 1

20325 N 51st Ave # 8
Glendale, AZ 85308-5674
Phone (623) 466-6350

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
I20191024001878 AZ Practitioner - Nurse Practitioner 0840522884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stonecreek Medical Associates PCGroup PAC ID 9739163700, 2 clinicians

Practice addresses (Care Compare)

10565 N Tatum Blvd
Suite B116
Paradise Valley, AZ 85253-1095
Phone (480) 659-0448

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227871AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Sep 9, 2019 Accepting new patients
Brian S Page DO LLC CurrentSince Sep 9, 2019 Accepting new patients
Stonecreek Medical Associates PC CurrentSince Jul 14, 2024 Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

10565 N Tatum Blvd
Paradise Vly, AZ 85253

10565 N Tatum Blvd
Ste B116
Paradise Vly, AZ 85253
Phone (480) 659-0448

Interoperability endpoints

  • Direct secure messaging: 134350.advancedmd-direct.com@134350.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/2506/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1457904252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 E THOMPSON PEAK PKWY STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557402",
            "telephone_number": "623-466-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 E THOMPSON PEAK PKWY STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557402",
            "telephone_number": "480-401-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave # 8",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085674",
            "country_code": "US",
            "telephone_number": "623-466-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "DEBRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.