Modern Healthcare, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8585 Issued in AZ

Legal business name

MODERN HEALTHCARE, INC

Practice address

3201 W Peoria Ave Ste A105
Phoenix, AZ 85029-4609

Phone

(602) 699-6353

Fax

(602) 699-6354

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Michael Rhodes, NP

Title

President

Phone

(602) 699-6353

Specialties & licenses 5

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1699135483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "602-699-6353",
            "fax_number": "602-699-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294609",
            "telephone_number": "602-699-6353",
            "fax_number": "602-699-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-699-6353",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7417",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "RN198428",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "41767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8585",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mattrhodes@azmedinjury.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address for patient records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml , zip, QRDA  files",
            "address_1": "3201 W Peoria Ave Ste C500",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850294600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Ann Mockler, LPC
• Elizabeth Ann Moczydlowski, OTRL
• Lael Cathleen Mode, MD
• Modern Dental Professionals - Arizona PC
• Modern Dental Professionals Az PC
• Modern Interventional Radiology, LLC
• Modern Recovery, Inc.
• Modern Sight Eyecare PLLC
• Modern Smiles PLLC
• Modern Sports Medicine LLC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.