Active NPI
Patricia E Timlick, FNP
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1598780843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN084815
- Practice address
- 4524 N Maryvale Pkwy Ste 220
Phoenix, AZ 85031-1732 - Phone
- (623) 846-6653
- Fax
- (623) 846-0220
- NPI assigned
- Jul 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN084815 | AZ | Primary |
Addresses
Primary practice location
4524 N Maryvale Pkwy Ste 220
Phoenix, AZ 85031-1732
Mailing address
4524 N Maryvale Pkwy Ste 220
Phoenix, AZ 85031-1732
Phone (623) 846-6653
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN084815 | AZ | MD | Family Nurse Practitioner |
Interoperability endpoints
- patricia.timlick.1@14580.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598780843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4524 N MARYVALE PKWY STE 220",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850311732",
"telephone_number": "623-846-6653",
"fax_number": "623-846-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4524 N MARYVALE PKWY STE 220",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850311732",
"telephone_number": "623-846-6653",
"fax_number": "623-846-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMLICK",
"first_name": "PATRICIA",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN084815",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.