Individual provider Active NPI

Aida Sultanovic, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1487516159
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339252 Issued in AZ
Practice address
1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664
Phone
(480) 410-4128
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 339252 AZ Primary

Addresses

Primary practice location

1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664

Mailing address

1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664
Phone (480) 410-4128

Other practice location 1

3402 N Central Ave
Phoenix, AZ 85012-2202
Phone (480) 410-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

709 W Seldon LN
Phoenix, AZ 85021-4427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10250659ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1487516159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 212",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "480-410-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 212",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "480-410-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122202",
            "country_code": "US",
            "telephone_number": "480-410-4129",
            "fax_number": "480-410-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULTANOVIC",
        "first_name": "AIDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "339252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.