Individual provider Active NPI

Aaron Nichols, NP

  • Acute Care Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1619213469
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
10050 Issued in AZ
Practice address
14961 W Bell Rd #175
Surprise, AZ 85374-6003
Phone
(623) 242-9830
NPI assigned
Dec 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 10050 AZ Primary

Addresses

Primary practice location

14961 W Bell Rd #175
Surprise, AZ 85374-6003

Mailing address

14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426
Phone (623) 233-1050

Other practice location 1

20040 N 19th Ave Ste D
Phoenix, AZ 85027-4255
Phone (623) 233-1050

Other practice location 2

14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426
Phone (623) 233-1050

Other practice location 3

13991 W Grand Ave Ste B102
Surprise, AZ 85374-3065
Phone (623) 233-1050

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
I20200730000667 AZ Practitioner - Nurse Practitioner 0648695288 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10050AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Envy, LLC CurrentSince Apr 1, 2022 Accepting new patients
Vein Envy LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

14044 W Camelback Rd
Ste 226
Litchfield Pk, AZ 85340
Phone (623) 233-1050

4545 E Chandler Blvd
Ste 202
Phoenix, AZ 85048
Phone (480) 961-2333

20040 N 19th Ave
Ste D
Phoenix, AZ 85027
Phone (623) 233-1050

13991 W Grand Ave
Ste B102
Surprise, AZ 85374
Phone (623) 233-1050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1619213469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 226",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409426",
            "telephone_number": "623-233-1050",
            "fax_number": "623-248-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD #175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853746003",
            "telephone_number": "623-242-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20040 N 19th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274255",
            "country_code": "US",
            "telephone_number": "623-233-1050",
            "fax_number": "623-215-7137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14044 W Camelback Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853409426",
            "country_code": "US",
            "telephone_number": "623-233-1050",
            "fax_number": "623-215-7137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13991 W Grand Ave Ste B102",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743065",
            "country_code": "US",
            "telephone_number": "623-233-1050",
            "fax_number": "623-215-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "AARON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2022-10-18",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "10050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.