Active NPI
Pamela Barbour Peat, CNP
- Women's Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1831418763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- BN371-51
- Practice address
- 3125 N 32ND St Ste 200
Phoenix, AZ 85018-6218 - Phone
- (602) 956-7481
- Fax
- (602) 956-7591
- NPI assigned
- May 17, 2010
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | BN371-51 | AZ | Primary |
Addresses
Primary practice location
3125 N 32ND St Ste 200
Phoenix, AZ 85018-6218
Mailing address
3125 N 32ND St Ste 200
Phoenix, AZ 85018-6218
Phone (602) 956-7481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CERTIFICATE NO. 298 | Other | AZ | STATE NURSE PRACTITIONER LICENSE # BN371-51 |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BN371-51 | AZ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Fertility Center | Past | 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 and National Provider Directory roles.
-
- Ambulatory Fertility Facility
- Phoenix, AZ
- NPI 1720226889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1831418763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 N 32ND ST STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850186218",
"telephone_number": "602-956-7481",
"fax_number": "602-956-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 N 32ND ST STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850186218",
"telephone_number": "602-956-7481",
"fax_number": "602-956-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAT",
"first_name": "PAMELA",
"middle_name": "BARBOUR",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "BN371-51",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NURSE PRACTITIONER LICENSE # BN371-51",
"identifier": "CERTIFICATE NO. 298",
"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 May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.