Individual provider Active NPI

Debra Jean Motrych, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679911028
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5022 Issued in AZ
Practice address
515 E Carefree Hwy # 621
Phoenix, AZ 85085-8839
Phone
(623) 582-1505
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5022 AZ Primary

Addresses

Primary practice location

515 E Carefree Hwy # 621
Phoenix, AZ 85085-8839

Mailing address

515 E Carefree Hwy # 621
Phoenix, AZ 85085-8839
Phone (623) 582-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1679911028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E CAREFREE HWY # 621",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858839",
            "telephone_number": "623-582-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E CAREFREE HWY # 621",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858839",
            "telephone_number": "623-582-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTRYCH",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.