Individual provider Active NPI

Estella Irene Cotter, RN, CHT

  • Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1710646302
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
NURR32833 Issued in AK
Practice address
15333 N Pima Rd
Scottsdale, AZ 85260-2783
Phone
(480) 422-5068
NPI assigned
Dec 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 265129 AZ
Community Health Registered Nurse 163WC1500X 265129 AZ
Community Health Registered Nurse 163WC1500X NURR32833 AK
Lactation Consultant (Registered Nurse) 163WL0100X 265129 AZ
Lactation Consultant (Registered Nurse) 163WL0100X NURR32833 AK
Maternal Newborn Registered Nurse 163WM0102X NURR32833 AK
Nutrition Support Registered Nurse 163WN1003X NURR32833 AK
Nutrition Support Registered Nurse 163WN1003X 265129 AZ
Psychiatric/Mental Health Registered Nurse 163WP0808X 265129 AZ
Psychiatric/Mental Health Registered Nurse 163WP0808X NURR32833 AK
Health & Wellness Coach 171400000X
Registered Nurse 163W00000X NURR32833 AK Primary

Addresses

Primary practice location

15333 N Pima Rd
Scottsdale, AZ 85260-2783

Mailing address

2293 Keeney Rd
North Pole, AK 99705-6089
Phone (907) 888-6585

Other practice location 1

2293 Keeney Rd
North Pole, AK 99705-6089
Phone (907) 888-6585

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.simplepractice.com/ Health Information Exchange (HIE)

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NURR32833AKMDLactation Consultant (Registered Nurse)
265129AZMDNutrition Support Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1710646302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 KEENEY RD",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056089",
            "telephone_number": "907-888-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602783",
            "telephone_number": "480-422-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2293 Keeney Rd",
            "address_purpose": "LOCATION",
            "city": "North Pole",
            "state": "AK",
            "postal_code": "997056089",
            "country_code": "US",
            "telephone_number": "907-888-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "ESTELLA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "RN, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "265129",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "265129",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AK",
            "license": "NURR32833",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "265129",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AK",
            "license": "NURR32833",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "AK",
            "license": "NURR32833",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "AK",
            "license": "NURR32833",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "AZ",
            "license": "265129",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "265129",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AK",
            "license": "NURR32833",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR32833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "HITRUST certified URL for creating client appointments, documentation, and appropriate sharing of vital medical information between providers as prescribed by HIPPA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15333 N Pima Rd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852602783",
            "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 Jan 31, 2022; 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.