Organization Active NPI

My Nurse Doc CG PLLC

  • Primary Care Clinic/Center
  • Casa Grande, AZ
National Provider Identifier
1831766633
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MY NURSE DOC CG PLLC
Practice address
609 W Cottonwood LN Ste 3
Casa Grande, AZ 85122-2248
Phone
(520) 836-0666
Fax
(520) 836-9273
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Mary Burton, FNP
Title
Member Manager
Phone
(520) 836-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

609 W Cottonwood LN Ste 3
Casa Grande, AZ 85122-2248

Mailing address

609 W Cottonwood LN Ste 3
Casa Grande, AZ 85122-2248
Phone (520) 836-0666

National Provider Directory

National Provider Directory

Locations

609 W Cottonwood Ln
Ste 3
Casa Grande, AZ 85122
Phone (520) 836-0666

Practitioners & affiliated clinicians

Practitioners 2

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": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1831766633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W COTTONWOOD LN STE 3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222248",
            "telephone_number": "520-836-0666",
            "fax_number": "520-836-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W COTTONWOOD LN STE 3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222248",
            "telephone_number": "520-836-0666",
            "fax_number": "520-836-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NURSE DOC CG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "520-836-0666",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

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