Individual provider Active NPI

Susan Marie Donoghue, MSN, FNP, APN

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1922521236
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1302 Issued in AZ
Practice address
7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258
Phone
(480) 268-2670
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00731300 NJ
Family Nurse Practitioner 363LF0000X AP1302 AZ Primary

Addresses

Primary practice location

7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258

Mailing address

7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258-3243
Phone (480) 268-2670

Other practice location 1

7975 N Hayden Rd Ste D354
Scottsdale, AZ 85258
Phone (480) 268-2670

Other identifiers 1

IdentifierTypeStateIssuer
909575MedicaidAZ

Other names 1

  • Susan Marie Wright Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phoenix

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325003262 AZ Practitioner - Family Practice 6709158330 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1302AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC CurrentSince Feb 8, 2020 Accepting new patients
Einfectionmd PC CurrentSince Jun 1, 2020 Accepting new patients
United Telehealth Corp CurrentSince Aug 1, 2020 Accepting new patients

Locations

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

9520 W Palm Ln
Ste 160A
Phoenix, AZ 85037

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

3339 N Drinkwater Blvd
Scottsdale, AZ 85251
Phone (480) 296-7169

Organizations & group practices 3

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922521236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-268-2670",
            "fax_number": "480-268-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-268-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7975 N Hayden Rd Ste D354",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85258",
            "country_code": "US",
            "telephone_number": "480-268-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOGHUE",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MSN, FNP, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00731300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909575",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "Y",
            "address_1": "7975 N Hayden Rd Ste D354",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WRIGHT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.