Individual provider Active NPI

Suri Zadai Raudales, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1639910060
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP236409 Issued in AZ
Practice address
11361 N 99TH Ave Ste 402
Peoria, AZ 85345-5459
Phone
(602) 636-4605
NPI assigned
May 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP236409 AZ Primary

Addresses

Primary practice location

11361 N 99TH Ave Ste 402
Peoria, AZ 85345-5459

Mailing address

11361 N 99TH Ave Ste 402
Peoria, AZ 85345-5459

Other names 1

  • Suri Zadai Orozco-Hernandez Former name

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
I20250804000709 AZ Practitioner - Nurse Practitioner 9739697525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 400And402
Peoria, AZ 85345-5470
Phone (602) 636-4605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP236409AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations Inc CurrentSince May 22, 2025 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Recovery Innovations, Inc CurrentSince May 22, 2025 Accepting new patients

Locations

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379

2701 N 16th St
Ste 316
Phoenix, AZ 85006

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1639910060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE STE 402",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE STE 402",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455459",
            "telephone_number": "602-636-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUDALES",
        "first_name": "SURI",
        "middle_name": "ZADAI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP236409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURI",
            "last_name": "OROZCO-HERNANDEZ",
            "middle_name": "ZADAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.