Phoenician Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PHOENICIAN HOSPICE LLC

Practice address

5111 N Scottsdale Rd Ste 204
Scottsdale, AZ 85250-7077

Phone

(480) 887-8993

Fax

(480) 887-8994

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Scott M. Johnson

Title

Vice-President

Phone

(617) 262-8455

Specialties & licenses 1

Addresses

Other names 1

• Phoenician Hospice PLLC Former legal business name

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Bredeson, AG-ACNP

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1437521044
  NPD (past)
• Nezar N Dahdal, MD

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1194977405
  NPD (past)
• Vicente Figueroa-Diaz, MD, PA-C

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1689898611
  NPD (past)
• Kim David Johnson, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1902987936
  NPD (past)
• Paul Herbert Kuppinger, MSN,FNP-BC

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1427456300
  NPD (past)
• Kathleen A Lupone, RN,FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1457358764
  NPD (past)
• Jillian Manng, AGNP-C

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1346779626
  NPD (past)
• Katherine Ann Mitzel, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1629136569
  NPD (past)
• Kellie A Porter, NP-C

  • Nurse Practitioner
  • Casa Grande, AZ
  • NPI 1619314523
  NPD (past)
• Marisa Rebeka, NP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1588066013
  NPD (past)
• Mary Rihani, DNP

  • Gerontology Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1447703913
  NPD (past)
• Kelly Lynn Schultz, DNP RN AGNP-C

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1023499860
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1730624461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 204",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507077",
            "telephone_number": "480-887-8993",
            "fax_number": "480-887-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 204",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507077",
            "telephone_number": "480-887-8993",
            "fax_number": "480-887-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "617-262-8455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenician Hospice PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daphne Phillips, PH.D
• Karen Gale Phillips, M.D.
• Malindi Rachell Phillips, RD, CNSC
• Nicole T Phillips, LMT
• Phoenician Foot & Ankle Specialists LLC
• Phoenix Anesthesiology Consultants, LLC
• Phoenix Children'S Hospital, Inc.
• Phoenix Children'S Hospital, Inc.
• Phoenix Children'S Medical Group
• Phoenix Diagnostic Imaging Inc

• Community Based Hospice Care Agency in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.