Active NPI
Rita T. Wermers, N.P.
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1841480548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R 194212-5
- Practice address
- 500 N 3Rd St
Suite 155
Phoenix, AZ 85004-2135 - Phone
- (602) 496-0721
- Fax
- (602) 496-0675
- NPI assigned
- Jul 28, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 148807 | WI | |
| Nurse Practitioner | 363L00000X | R 194212-5 | MN | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP5054 | AZ |
Addresses
Primary practice location
500 N 3Rd St
Suite 155
Phoenix, AZ 85004-2135
Mailing address
500 N 3Rd St
Suite 155
Phoenix, AZ 85004-2135
Phone (602) 496-0721
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 194212-5 | MN | MD | Nurse Practitioner |
| AP5054 | AZ | MD | Adult Health Nurse Practitioner |
| 148807 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona State University | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona State University Health Services
- Internal Medicine Physician
- Tempe, AZ
- NPI 1629013263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1841480548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N 3RD ST",
"address_2": "SUITE 155",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042135",
"telephone_number": "602-496-0721",
"fax_number": "602-496-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 3RD ST",
"address_2": "SUITE 155",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042135",
"telephone_number": "602-496-0721",
"fax_number": "602-496-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERMERS",
"first_name": "RITA",
"middle_name": "T.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-28",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "148807",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 194212-5",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP5054",
"primary": false
}
],
"identifiers": [],
"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 Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.