NPIMap

Individual provider Active NPI

Nicole E Thurman, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1659635464
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4534 Issued in AZ
Practice address
1101 N Central Ave Ste 204
Phoenix, AZ 85004-1844
Phone
(602) 344-6550
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN144954 AZ
Family Nurse Practitioner 363LF0000X AP4534 AZ Primary

Addresses

Primary practice location

1101 N Central Ave Ste 204
Phoenix, AZ 85004-1844

Mailing address

1101 N Central Ave Ste 204
Phoenix, AZ 85004-1844
Phone (602) 344-6550

Other names 1

  • Nicole E McNicol Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000157 AZ Practitioner - Nurse Practitioner 7416106257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maricopa County Special Health Care DistrictGroup PAC ID 4688583651, 124 clinicians

Practice addresses (Care Compare)

1101 N Central Ave
Suite 204
Phoenix, AZ 85004-1844
Phone (602) 344-6550

Hospital & facility affiliations

  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4534AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince Jul 16, 2012 Accepting new patients
Honorhealth Current Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2019 Accepting new patients
Maricopa County Special Health Care District CurrentSince Aug 1, 2019 Accepting new patients
Honorhealth CurrentSince Jul 16, 2012 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Aug 1, 2019 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

1101 N Central Ave
Ste 204
Phoenix, AZ 85004
Phone (602) 344-6550

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

10460 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1573

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

10460 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 323-1573

Interoperability endpoints

  • Direct secure messaging: nthurman211054@direct.valleywisehealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1659635464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041844",
            "telephone_number": "602-344-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041844",
            "telephone_number": "602-344-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN144954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MCNICOL",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.