Organization Active NPI

Nerve Assure, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Tempe, AZ
National Provider Identifier
1821341710
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
NERVE ASSURE, LLC
Practice address
2131 E Broadway Rd
Suite 22
Tempe, AZ 85282-1737
Phone
(623) 335-2466
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Elise Kilmer
Title
Manager
Phone
(623) 335-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2131 E Broadway Rd
Suite 22
Tempe, AZ 85282-1737

Mailing address

2131 E Broadway Rd
Suite 22
Tempe, AZ 85282-1737
Phone (623) 335-2466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131112000556 AZ Part B Supplier - Clinic/Group Practice 4284860735 Receives reassigned benefits from 2 practitioners
Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory

Locations

2131 E Broadway Rd
Ste 22
Tempe, AZ 85282
Phone (623) 335-2466

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1821341710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 E BROADWAY RD",
            "address_2": "SUITE 22",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821737",
            "telephone_number": "623-335-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 E BROADWAY RD",
            "address_2": "SUITE 22",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821737",
            "telephone_number": "623-335-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVE ASSURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "KILMER",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-335-2466"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.