Active NPI
Suzanne Morris, NP, RNFA
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1588074876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP11636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN169298 | AZ | MD | Registered Nurse First Assistant |
| AP11636 | AZ | MD | Nurse 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.