Individual provider Active NPI

Annamarie Bricker, N.P.

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1740354265
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN039808 Issued in AZ
Practice address
2025 N 3Rd St
170
Phoenix, AZ 85004-1471
Phone
(602) 794-2312
Fax
(602) 462-1186
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN039809 AZ
Adult Health Nurse Practitioner 363LA2200X RN039808 AZ Primary

Addresses

Primary practice location

2025 N 3Rd St
170
Phoenix, AZ 85004-1471

Mailing address

2025 N 3Rd St
170
Phoenix, AZ 85004-1471
Phone (602) 794-2312

Other names 1

  • Annamarie Bricker Professional name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
52AZMDPhysical Therapy Assistant
RN039808AZMDAdult Health Nurse Practitioner
RN039809AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sattva Integrative Healthcare PLLC CurrentSince Apr 30, 2023 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Marvin L Colvin DO Past Accepting new patients

Locations

2410 W Ray Rd
Chandler, AZ 85224
Phone (480) 873-9971

2410 W Ray Rd
Ste 4
Chandler, AZ 85224
Phone (480) 699-2054

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1740354265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST",
            "address_2": "170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041471",
            "telephone_number": "602-794-2312",
            "fax_number": "602-462-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST",
            "address_2": "170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041471",
            "telephone_number": "602-794-2312",
            "fax_number": "602-462-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKER",
        "first_name": "ANNAMARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN039809",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN039808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAMARIE",
            "last_name": "BRICKER",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.