Organization Active NPI

Desert Neonatology Associates

  • General Acute Care Hospital
  • Phoenix, AZ
National Provider Identifier
1841695269
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
RN0000174177 Issued in TN
Legal business name
DESERT NEONATOLOGY ASSOCIATES
Practice address
7720 N 16TH St Ste 425
Phoenix, AZ 85020-4401
Phone
(602) 476-8962
Fax
(623) 643-9236
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Kim Runge
Title
Credentialing Specialist
Phone
(602) 476-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X RN0000174177 TN Primary

Addresses

Primary practice location

7720 N 16TH St Ste 425
Phoenix, AZ 85020-4401

Mailing address

7720 N 16TH St Ste 425
Phoenix, AZ 85020-4401
Phone (602) 476-8962

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1841695269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N 16TH ST STE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204401",
            "telephone_number": "602-476-8962",
            "fax_number": "623-643-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 N 16TH ST STE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204401",
            "telephone_number": "602-476-8962",
            "fax_number": "623-643-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT NEONATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "602-476-8962"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "RN0000174177",
            "primary": true
        }
    ],
    "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 Oct 28, 2014; 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.