Individual provider Active NPI

Steven Paul Giacoppo, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1629101357
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4379 Issued in AZ
Practice address
3811 E Bell Rd
Suite 207
Phoenix, AZ 85032-2138
Phone
(602) 971-8200
Fax
(602) 971-8201
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3904 AZ
Family Nurse Practitioner 363LF0000X AP4379 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd
Suite 207
Phoenix, AZ 85032-2138

Mailing address

3811 E Bell Rd
Suite 207
Phoenix, AZ 85032-2138
Phone (602) 971-8200

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
I20120412000395 AZ Practitioner - Nurse Practitioner 3476714726 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3904AZMDPsychologist
AP4379AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur H Schurgin DO PC CurrentSince Dec 17, 2012 Accepting new patients

Locations

3811 E Bell Rd
Ste 207
Phoenix, AZ 85032
Phone (480) 863-6044

8841 E Bell Rd
Ste 101
Scottsdale, AZ 85260
Phone (602) 971-8200

Organizations & group practices 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1629101357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD",
            "address_2": "SUITE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322138",
            "telephone_number": "602-971-8200",
            "fax_number": "602-971-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD",
            "address_2": "SUITE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322138",
            "telephone_number": "602-971-8200",
            "fax_number": "602-971-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOPPO",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3904",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.