Individual provider Active NPI

Amy Marie Connaker, REGISTERED NURSE

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1689957201
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
296144 Issued in AZ
Practice address
15095 N Thompson Peak Pkwy Unit 2087
Scottsdale, AZ 85260-2881
Phone
(907) 795-8837
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 296144 AZ Primary

Addresses

Primary practice location

15095 N Thompson Peak Pkwy Unit 2087
Scottsdale, AZ 85260-2881

Mailing address

15095 N Thompson Peak Pkwy Unit 2087
Scottsdale, AZ 85260-2881
Phone (907) 795-8837

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32972AKMDAdult Mental Health Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1689957201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 N THOMPSON PEAK PKWY UNIT 2087",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602881",
            "telephone_number": "907-795-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 N THOMPSON PEAK PKWY UNIT 2087",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602881",
            "telephone_number": "907-795-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNAKER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "296144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.