Individual provider Active NPI

Nicolette Hawthorne, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1902341431
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9674 Issued in AZ
Practice address
4527 N 16TH St
Phoenix, AZ 85016-5352
Phone
(602) 845-8000
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 AP9674 AZ Primary

Addresses

Primary practice location

4527 N 16TH St
Phoenix, AZ 85016-5352

Mailing address

4527 N 16TH St
Phoenix, AZ 85016-5352
Phone (602) 845-8000

Other names 1

  • Nicolette Ann Rice Former name

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
I20170607001256 AZ Practitioner - Nurse Practitioner 7618245010 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9674AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Apr 29, 2019 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Apr 29, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 29, 2019 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 29, 2019 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

9100 N 2nd St
Ste 121
Phoenix, AZ 85020
Phone (602) 943-4509

2500 W Utopia Rd
Ste 100CVO
Phoenix, AZ 85027
Phone (202) 294-0298

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1902341431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165352",
            "telephone_number": "602-845-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165352",
            "telephone_number": "602-845-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "NICOLETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "RICE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.