NPIMap

Organization Active NPI

PNP Medical LLC

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1881576700
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PNP MEDICAL LLC
Practice address
2925 N 16TH Dr
Phoenix, AZ 85015-6146
Phone
(888) 449-3783
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Pauline Goss, PNPNPI 1881751022
Title
Owner
Phone
(888) 449-3783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

2925 N 16TH Dr
Phoenix, AZ 85015-6146

Mailing address

2925 N 16TH Dr
Phoenix, AZ 85015-6146
Phone (888) 449-3783

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": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1881576700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 N 16TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156146",
            "telephone_number": "888-449-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 N 16TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156146",
            "telephone_number": "888-449-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-449-3783",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "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 Jul 29, 2026; 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.