Individual provider Active NPI

Brooke Mayo James, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1548577570
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4966 Issued in AZ
Practice address
8520 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6677
Phone
(480) 588-6924
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN121135-AP06272 LA
Family Nurse Practitioner 363LF0000X AP4966 AZ Primary

Addresses

Primary practice location

8520 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6677

Mailing address

18037 N 51St Way
Scottsdale, AZ 85254-7620
Phone (318) 426-8745

Other identifiers 2

IdentifierTypeStateIssuer
RN121135-AP06272OtherLAAPRN LICENSE NUMBER
AP4966OtherAZAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20141010000269 LA Practitioner - Nurse Practitioner 2668692823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Family Medical LLCGroup PAC ID 3577792878, 4 clinicians

Practice addresses (Care Compare)

22601 Hwy 190 E
Robert, LA 70455-1731
Phone (504) 236-5311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4966AZMDFamily Nurse Practitioner
RN121135-AP06272LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Medical, LLC CurrentSince Aug 11, 2014 Accepting new patients
Total Family Medical, LLC Past Accepting new patients

Locations

8520 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 588-6924

22601 Highway 190 E
Robert, LA 70455
Phone (504) 236-5311

Interoperability endpoints

  • Direct secure messaging: brooke.james.1@10157.direct.athenahealth.com

Organizations & group practices 2

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1548577570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18037 N 51ST WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547620",
            "telephone_number": "318-426-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 E SHEA BLVD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606677",
            "telephone_number": "480-588-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "BROOKE",
        "middle_name": "MAYO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN121135-AP06272",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "RN121135-AP06272",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP4966",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.