Individual provider Active NPI

Jennifer Duick, F.N.P.

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1881016459
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5379 Issued in AZ
Practice address
9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Phone
(602) 266-8463
Fax
(602) 266-0122
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5379 AZ Primary

Addresses

Primary practice location

9328 E Raintree Dr
Scottsdale, AZ 85260-2098

Mailing address

9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Phone (602) 266-8463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124000550 AZ Practitioner - Nurse Practitioner 7911207923 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5379AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MH 7 LLC CurrentSince Aug 1, 2020 Accepting new patients
Endocrinology Associates P a DTD CurrentSince Aug 13, 2015 Accepting new patients
Advanced Nuclear Cardiology PLLC Current Accepting new patients
M Zuhdi Jasser MD PC CurrentSince Mar 5, 2024 Accepting new patients

Locations

1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 251-3122

4520 N 12th St
Ste 103
Phoenix, AZ 85014
Phone (520) 370-1492

9328 E Raintree Dr
Scottsdale, AZ 85260
Phone (602) 266-8463

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA
  • Direct secure messaging: jennifer.duick@ml-az.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1881016459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602098",
            "telephone_number": "602-266-8463",
            "fax_number": "602-266-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602098",
            "telephone_number": "602-266-8463",
            "fax_number": "602-266-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUICK",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.