Individual provider Active NPI

Heather Bennett, CRNFA

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1689649477
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
RN049561 Issued in AZ
Practice address
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Phone
(602) 262-8900
Fax
(602) 445-4079
NPI assigned
Feb 23, 2006
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X RN049561 AZ Primary

Addresses

Primary practice location

1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527

Mailing address

PO Box 34864
Phoenix, AZ 85067-4864
Phone (602) 262-8900

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN049561AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Assistant Associates LTD Current Accepting new patients
First Assistant Associates LTD Current Accepting new patients
Honorhealth Ambulatory Surgical Past Accepting new patients
Surgcenter Camelback LLC Past Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2262 E Rose Garden Ln
Phoenix, AZ 85024
Phone (602) 424-4408

240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

6245 N 24th Pkwy
Ste 112
Phoenix, AZ 85016
Phone (602) 682-7005

1776 N Scottsdale Rd
Unit 368
Scottsdale, AZ 85252
Phone (480) 201-5264

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

9007 E Shea Blvd
Ste A
Scottsdale, AZ 85260
Phone (480) 323-3950

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1689649477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34864",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850674864",
            "telephone_number": "602-262-8900",
            "fax_number": "602-445-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044527",
            "telephone_number": "602-262-8900",
            "fax_number": "602-445-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "HEATHER",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "RN049561",
            "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 Feb 11, 2010; 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.