Active NPI
Misty Elaine Daughters, AG-ACNP
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 250593
- Practice address
- 6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143 - Phone
- (623) 738-0193
- Fax
- (623) 745-0801
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 250593 | AZ | Primary |
Addresses
Primary practice location
6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143
Mailing address
6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143
Phone (623) 738-0193
Other names 1
- Misty Elaine Brown
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12622 E Victoria St
Chandler, AZ 85249-3748
Phone (623) 295-1190
17100 N 67TH Ave
Suite 600 601
Glendale, AZ 85308-3605
Phone (520) 742-4008
22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250593 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| Emergency Group of Arizona Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Leading Healthcare, LLC | Acute Care | Current | Accepting new patients |
| Arizona Pain Care Center, PLLC | Current | Accepting new patients | |
| Leading Healthcare Specialist PLLC | Acute Care | Current | Accepting new patients |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients | |
| Arizona Pain Care Associates LLC | Past | Accepting new patients | |
| Suleiman Ali LLC | Past | Accepting new patients |
Locations
350 E La Canada Blvd
Avondale, AZ 85323
Phone (540) 818-5752
5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900
17100 N 67th Ave
Ste 600
Glendale, AZ 85308
17100 N 67th Ave
Ste 600601
Glendale, AZ 85308
Phone (520) 742-4008
13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740
13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320
12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGEIBD
Organizations & group practices 8
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.
-
- Pain Medicine Physician
- Oro Valley, AZ
- NPI 1396246013
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Oro Valley, AZ
- NPI 1417253972
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1851995278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1760038863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6036 N 19TH AVE STE 502",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152143",
"telephone_number": "623-738-0193",
"fax_number": "623-745-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6036 N 19TH AVE STE 502",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152143",
"telephone_number": "623-738-0193",
"fax_number": "623-745-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHTERS",
"first_name": "MISTY",
"middle_name": "ELAINE",
"credential": "AG-ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "250593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "BROWN",
"middle_name": "ELAINE",
"code": "1",
"type": "Former 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 Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.