Individual provider Active NPI

Pamela Barbour Peat, CNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1831418763
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
BN371-51 Issued in AZ
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

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CERTIFICATE NO. 298OtherAZSTATE 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

LicenseStateTypeSpecialty
BN371-51AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.