Uncharted Healthcare PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

UNCHARTED HEALTHCARE PLLC

Practice address

1300 S Litchfield Rd Ste 210-I
Goodyear, AZ 85338-1513

Phone

(623) 248-0297

Fax

(623) 248-0299

NPI assigned

May 12, 2022

Organization subpart

No

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

Authorized official

Name

Sara Ingram, FNPNPI 1225597727

Title

FNP

Phone

(602) 373-0932

Specialties & licenses 4

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Dyane Ingram, DNP, FNP-C

  • Nurse Practitioner
  • Goodyear, AZ
  • NPI 1225597727
  NPD Authorized official
• Roseann O'Connell, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1588235204
  NPD (past)
• Janet D Tate-Brown, RN, BSN, MSN

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1215360854
  NPD (past)

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1649917535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S LITCHFIELD RD STE 210I",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381583",
            "telephone_number": "623-248-0297",
            "fax_number": "623-248-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S LITCHFIELD RD STE 210-I",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381513",
            "telephone_number": "623-248-0297",
            "fax_number": "623-248-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCHARTED HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "602-373-0932",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.