Active NPI
Erin Ann O'Brien, CRNP
- Family Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1679623342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP009236
- Practice address
- 9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5199 - Phone
- (480) 862-1700
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP009236 | PA | Primary |
Addresses
Primary practice location
9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5199
Mailing address
309 S Oliver Ave
Zelienople, PA 16063-1385
Phone (724) 584-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP009236 | Other | PA | CRNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330002254 | PA | Order and Referring Only - Nurse Practitioner | 2163528068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients |
Locations
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
2050 Corporate Centre Dr
Ste 220A
Myrtle Beach, SC 29577
Phone (843) 945-3234
4975 Lacross Rd
Ste 200A
North Charleston, SC 29406
Phone (843) 529-3100
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Myrtle Beach, SC
- NPI 1033990544
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1154207769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1679623342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S OLIVER AVE",
"city": "ZELIENOPLE",
"state": "PA",
"postal_code": "160631385",
"telephone_number": "724-584-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 E MOUNTAIN VIEW RD",
"address_2": "SUITE 220",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585199",
"telephone_number": "480-862-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "ERIN",
"middle_name": "ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP009236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LICENSE",
"identifier": "SP009236",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.