Active NPI
Nancy Jane Jorgensen, RN,MS,WHNP
- Obstetrics & Gynecology Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1477613511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- AP1563
- Practice address
- 3501 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85251-5648 - Phone
- (480) 945-6583
- Fax
- (480) 423-6829
- NPI assigned
- Dec 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN102721 | AZ | |
| Women's Health Nurse Practitioner | 363LW0102X | AP1563 | AZ | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP1563 | AZ | Primary |
Addresses
Primary practice location
3501 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85251-5648
Mailing address
3501 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85251-5648
Phone (480) 945-6583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP1563 | Other | AZ | NP LICENSE |
| RN102721 | Other | AZ | LICENSE |
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN102721 | AZ | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477613511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD",
"address_2": "SUITE 280",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515648",
"telephone_number": "480-945-6583",
"fax_number": "480-423-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD",
"address_2": "SUITE 280",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515648",
"telephone_number": "480-945-6583",
"fax_number": "480-423-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "NANCY",
"middle_name": "JANE",
"credential": "RN,MS,WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "AZ",
"license": "RN102721",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "AP1563",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AZ",
"license": "AP1563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "AP1563",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN102721",
"state": "AZ"
}
],
"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 Mar 7, 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.