Individual provider Active NPI

Amy Hanford, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1699152900
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8471 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone
(602) 494-5155
Fax
(602) 494-5115
NPI assigned
May 6, 2015
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8471 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060

Mailing address

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone (602) 494-5155

Other practice location 1

1110 S Dobson Rd
Suite 7
Chandler, AZ 85286-6163
Phone (480) 855-3229

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
I20160614002290 AZ Practitioner - Nurse Practitioner 3577854058 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surraj Medical Associates PLLCGroup PAC ID 5294804993, 7 clinicians

Practice addresses (Care Compare)

9165 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4847
Phone (623) 249-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8471AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Cardiology CurrentSince Jan 10, 2017 Accepting new patients
Surraj Medical Associates PLLC CurrentSince Jul 1, 2024 Accepting new patients
North Valley Family Medicine PC CurrentSince Jan 1, 2026 Accepting new patients
Paradise Valley Family Medicine, PC CurrentSince Aug 25, 2018 Accepting new patients
Signify Health, LLC Nurse Practitioner Past Accepting new patients
Desert Valley Radiology, PLC PastSince Aug 25, 2018 Accepting new patients
Surraj Medical Associates Past Accepting new patients

Locations

6320 W Union Hills Dr
Ste 2800B
Glendale, AZ 85308
Phone (623) 322-4991

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

9165 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 249-2100

11209 N Tatum Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 494-5155

2227 W Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (602) 254-6640

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA
  • FHIR API: https://api.platform.athenahealth.com/5780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1699152900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 S Dobson Rd",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852866163",
            "country_code": "US",
            "telephone_number": "480-855-3229",
            "fax_number": "480-855-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANFORD",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.