Individual provider Active NPI

Tori Fillingame

  • Pediatric Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1801504345
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
291087 Issued in AZ
Practice address
20266 N 73Rd Dr
Glendale, AZ 85308-9626
Phone
(602) 708-9809
NPI assigned
Nov 14, 2022
Last updated
Jul 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 291087 AZ Primary
Registered Nurse 163W00000X RN212901 AZ

Addresses

Primary practice location

20266 N 73Rd Dr
Glendale, AZ 85308-9626

Mailing address

20266 N 73Rd Dr
Glendale, AZ 85308-9626
Phone (602) 708-9809

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN212901AZMDRegistered Nurse
291087AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1801504345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20266 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089626",
            "telephone_number": "602-708-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20266 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089626",
            "telephone_number": "602-708-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLINGAME",
        "first_name": "TORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "291087",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN212901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.