Individual provider Active NPI

Maureen A Cowell, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679987408
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP566 Issued in AZ
Practice address
20414 N 27TH Ave FL 4
Phoenix, AZ 85027-3250
Phone
(952) 703-5098
Fax
(855) 848-5268
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN136378 AZ
Family Nurse Practitioner 363LF0000X AP566 AZ Primary

Addresses

Primary practice location

20414 N 27TH Ave FL 4
Phoenix, AZ 85027-3250

Mailing address

20414 N 27TH Ave
Phoenix, AZ 85027-3250
Phone (602) 370-5914

Other names 1

  • Maureen A Cunningham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204004031 AZ Order and Referring Only - Nurse Practitioner 9830317536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP566AZMDFamily Nurse Practitioner
RN136378AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mountain Healthcare LLC Past Accepting new patients
Lookout Mountain Healthcare LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maureen.cowell@krogerhealth.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1679987408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "602-370-5914",
            "fax_number": "615-425-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "952-703-5098",
            "fax_number": "855-848-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWELL",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-02-21",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN136378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "CUNNINGHAM",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.