Active NPI
Meradith McCortney, NP
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1891640017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 254195
- Practice address
- 17839 N 15TH St
Phoenix, AZ 85022-1295 - Phone
- (928) 713-1028
- NPI assigned
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 254195 | AZ | Primary |
Addresses
Primary practice location
17839 N 15TH St
Phoenix, AZ 85022-1295
Mailing address
17839 N 15TH St
Phoenix, AZ 85022-1295
Other practice location 1
4010 E Bell Rd Ste 103
Phoenix, AZ 85032-2149
Phone (602) 595-0015 ext. 31028
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254195 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1891640017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17839 N 15TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17839 N 15TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221295",
"telephone_number": "928-713-1028"
}
],
"practiceLocations": [
{
"address_1": "4010 E Bell Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850322149",
"country_code": "US",
"telephone_number": "602-595-0015 x31028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORTNEY",
"first_name": "MERADITH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "254195",
"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 Mar 3, 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.