Organization Active NPI

Quality Outlook

  • Licensed Practical Nurse
  • Phoenix, AZ
National Provider Identifier
1467963124
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP046141 Issued in AZ
Legal business name
QUALITY OUTLOOK
Practice address
1717 W Glendale Ave Apt 3011
Phoenix, AZ 85021-8817
Phone
(602) 461-5330
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marla Clay, LPNNPI 1568980779
Title
LPN
Phone
(602) 461-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X LP046141 AZ Primary

Addresses

Primary practice location

1717 W Glendale Ave Apt 3011
Phoenix, AZ 85021-8817

Mailing address

1717 W Glendale Ave Apt 3011
Phoenix, AZ 85021-8817
Phone (602) 461-5330

Other identifiers 1

IdentifierTypeStateIssuer
1568980779MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1467963124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W GLENDALE AVE APT 3011",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218817",
            "telephone_number": "602-461-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W GLENDALE AVE APT 3011",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218817",
            "telephone_number": "602-461-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OUTLOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "602-461-5330",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP046141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568980779",
            "state": "AZ"
        }
    ],
    "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 Oct 20, 2017; 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.