Active NPI
Carol Ann Harrigan, R.N.
- Neonatal Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1790925766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- RN059812
- Practice address
- 300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476 - Phone
- (602) 277-4161
- Fax
- (602) 266-3481
- NPI assigned
- Mar 3, 2009
- Last updated
- Dec 7, 2011
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | RN059812 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Mailing address
300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone (602) 277-4161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN059812 | Other | AZ | STATE RN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neonatology Associates, LTD | Neonatal | Past | Accepting new patients |
| Banner Sun City Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Sun City, AZ
- NPI 1902067200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1790925766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133476",
"telephone_number": "602-277-4161",
"fax_number": "602-266-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133476",
"telephone_number": "602-277-4161",
"fax_number": "602-266-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIGAN",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "RN059812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE RN LICENSE NUMBER",
"identifier": "RN059812",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}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 Dec 7, 2011; 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.