Individual provider Active NPI

Ann Marie Guthery, PSY NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1902897168
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
064049 Issued in AZ
Practice address
10000 N 31St Ave
A-105
Phoenix, AZ 85051-9582
Phone
(602) 843-0000
Fax
(602) 997-1305
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 064049 AZ Primary

Addresses

Primary practice location

10000 N 31St Ave
A-105
Phoenix, AZ 85051-9582

Mailing address

1919 E. Thomas Road
Ambulatory Building, 4TH Floor
Phoenix, AZ 86018
Phone (602) 933-0990

Other names 1

  • Ann Marie Propp 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
I20091014000082 AZ Practitioner - Nurse Practitioner 4789720228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 N 12TH St
Suite 550
Phoenix, AZ 85006-2820
Phone (623) 213-0099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
064049AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC Current Accepting new patients
Partners in Recovery, LLC CurrentSince Oct 11, 2022 Accepting new patients
Partners in Recovery, LLC CurrentSince Oct 11, 2022 Accepting new patients
Grossman & Grossman, LTD. Current Accepting new patients
Grossman & Grossman, LTD. CurrentSince Nov 30, 2023 Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients
Phoenix Children'S Medical Group CurrentSince Aug 1, 2015 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Aug 1, 2015 Accepting new patients

Locations

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

1300 N 12th St
Ste 550
Phoenix, AZ 85006
Phone (602) 254-5229

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

Organizations & group practices 8

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1902897168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E. THOMAS ROAD",
            "address_2": "AMBULATORY BUILDING, 4TH FLOOR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "86018",
            "telephone_number": "602-933-0990",
            "fax_number": "601-933-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE",
            "address_2": "A-105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519582",
            "telephone_number": "602-843-0000",
            "fax_number": "602-997-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHERY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PSY NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "064049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "PROPP",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.