Individual provider Active NPI

Nancy Hardin, O.D.

  • Optometrist
  • Fountain Hills, AZ
National Provider Identifier
1699843201
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
838 Issued in AZ
Practice address
16425 E Palisades Blvd
102
Fountain Hills, AZ 85268-3754
Phone
(480) 837-2020
Fax
(480) 836-9758
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 838 AZ Primary

Addresses

Primary practice location

16425 E Palisades Blvd
102
Fountain Hills, AZ 85268-3754

Mailing address

16425 E Palisades Blvd
102
Fountain Hills, AZ 85268-3754
Phone (480) 837-2020

Other identifiers 1

IdentifierTypeStateIssuer
P00985276OtherAZMEDICARE RAILROAD

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1699843201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 E PALISADES BLVD",
            "address_2": "102",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683754",
            "telephone_number": "480-837-2020",
            "fax_number": "480-836-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16425 E PALISADES BLVD",
            "address_2": "102",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683754",
            "telephone_number": "480-837-2020",
            "fax_number": "480-836-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00985276",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.