Active NPI
Paula Brottman, APN
- Family Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1689844201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201250043NP
- Practice address
- 9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5199 - Phone
- (877) 561-7335
- NPI assigned
- Mar 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209004667 | IL | |
| Family Nurse Practitioner | 363LF0000X | 201250043NP | OR | Primary |
Addresses
Primary practice location
9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5199
Mailing address
9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5199
Phone (877) 561-7335
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbrottman583533@oc.providencedirect.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209004667 | IL | MD | Family Nurse Practitioner |
| 201250043NP | OR | MD | Family Nurse Practitioner |
Interoperability endpoints
- pbrottman583533@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1689844201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 E MOUNTAIN VIEW RD",
"address_2": "SUITE 220",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585199",
"telephone_number": "877-561-7335"
},
{
"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": "877-561-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTTMAN",
"first_name": "PAULA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209004667",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201250043NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbrottman583533@oc.providencedirect.org",
"affiliation": "N",
"address_1": "6350 NE Halsey St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972134720",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.