Individual provider Active NPI

John David Neel, AT

  • Community Health Worker
  • Scottsdale, AZ
National Provider Identifier
1861731176
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
0083 Issued in AZ
Practice address
9332 N 95TH Way
Suite 104
Scottsdale, AZ 85258-5536
Phone
(480) 948-8889
NPI assigned
Feb 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 0083 AZ Primary

Addresses

Primary practice location

9332 N 95TH Way
Suite 104
Scottsdale, AZ 85258-5536

Mailing address

5010 E Evans Dr
Scottsdale, AZ 85254-2827
Phone (602) 996-0455

Other identifiers 1

IdentifierTypeStateIssuer
0083OtherAZARIZONA BOARD OF ATHLETIC TRAINING

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

State licenses

LicenseStateTypeSpecialty
0083AZMDCommunity Health Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1861731176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E EVANS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542827",
            "telephone_number": "602-996-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 N 95TH WAY",
            "address_2": "SUITE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585536",
            "telephone_number": "480-948-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": "0083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF ATHLETIC TRAINING",
            "identifier": "0083",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.