Paula Lynn Mazzacano, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN027760 Issued in AZ

Practice address

8415 N Pima Rd
Suite 210
Scottsdale, AZ 85258-4480

Phone

(480) 425-8700

NPI assigned

May 3, 2007

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paula Lynn Heidrich Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Scottsdale OB & GYN Specialists P.C.

  dba Vitality MDs

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
  • NPI 1386848075
  Medicare reassignment NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1770705196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 E CHISUM TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508568",
            "telephone_number": "480-585-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "SUITE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-425-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZACANO",
        "first_name": "PAULA",
        "middle_name": "LYNN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN027760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "HEIDRICH",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Naomi Maza
• Mehdi Mazaheri, M.D.
• Joseph S. Mazel, DMD
• Kyle Mazurowski
• Julianna Mazza, NMD
• Mba Holdings II, LLC (Harmony Hospice)
• Nolan MC Bride, MD
• James Joseph MC Cready, D.C.
• Alison Lamar MC Gordon, LMSW
• Niamh K MC Verry, M.B., B. CH., BAO

• Women's Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.