Individual provider Active NPI

Suzanne Morris, NP, RNFA

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1588074876
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP11636 Issued in AZ
Practice address
4802 E. Ray Rd.
Ste 23-364
Phoenix, AZ 85044
Phone
(520) 252-9576
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN169298 AZ
Nurse Practitioner 363L00000X AP11636 AZ Primary

Addresses

Primary practice location

4802 E. Ray Rd.
Ste 23-364
Phoenix, AZ 85044

Mailing address

4802 E. Ray Rd.
Ste 23-364
Phoenix, AZ 85044-6405
Phone (480) 545-2610

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
I20190109001707 AZ Practitioner - Nurse Practitioner 6800132028 Practice locations: Phoenix, AZ; Scottsdale, AZ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN169298AZMDRegistered Nurse First Assistant
AP11636AZMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1588074876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 E. RAY RD.",
            "address_2": "STE 23-364",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446405",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 E. RAY RD.",
            "address_2": "STE 23-364",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "520-252-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SUZANNE",
        "credential": "NP, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN169298",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.