Active NPI
Gladys M O'Connor, NP-C
- Family Nurse Practitioner
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 217204
- Practice address
- 2485 N 160TH Ave
Goodyear, AZ 85395-7601 - Phone
- (707) 624-6134
- NPI assigned
- Jan 6, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 217204 | AZ | Primary |
Addresses
Primary practice location
2485 N 160TH Ave
Goodyear, AZ 85395-7601
Mailing address
2485 N 160TH Ave
Goodyear, AZ 85395-7601
Phone (707) 624-6134
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217204 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pophealthcare Medical Services of Az, PC | Current | Accepting new patients | |
| Pophealthcare Medical Services of Az, PC | Family | Current | Accepting new patients |
| Arizona Advanced Surgery LLC | Current | Accepting new patients |
Locations
4915 E Baseline Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 292-8542
7205 S 51st Ave
Ste 203
Laveen, AZ 85339
Phone (602) 358-7073
1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001
1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040
3811 E Bell Rd
Ste 103
Phoenix, AZ 85032
Phone (480) 569-2729
1438 W Broadway Rd
Ste 101
Tempe, AZ 85282
Phone (480) 524-1600
2141 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 237-5098
113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGJBCD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1346880838
-
- Nurse Practitioner
- Tempe, AZ
- NPI 1760884175
-
- Family Nurse Practitioner
- Tempe, AZ
- NPI 1417652454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1821807744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 N 160TH AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957601",
"telephone_number": "707-624-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 N 160TH AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957601",
"telephone_number": "707-624-6134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "GLADYS",
"middle_name": "M",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "217204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.