Active NPI
Debra Jean Motrych, NP-C
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1679911028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5022
- 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
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 | 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.