Individual provider Active NPI

Sylvie Lee Sorelle, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1942988381
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
289691 Issued in AZ
Practice address
1430 E Missouri Ave
Phoenix, AZ 85014-2467
Phone
(602) 445-6363
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 289691 AZ Primary

Addresses

Primary practice location

1430 E Missouri Ave
Phoenix, AZ 85014-2467

Mailing address

4347 E Ludlow Dr
Phoenix, AZ 85032-5832
Phone (832) 713-3172

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
I20231012000488 AZ Practitioner - Nurse Practitioner 2567515372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
1St Care Medical ClinicGroup PAC ID 2062429434, 4 clinicians

Practice addresses (Care Compare)

637 E Main St
Mesa, AZ 85203-8791
Phone (602) 544-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James Longton DPM PC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Stocks Podiatry LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
1St Care Medical Clinic Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Arizona Family Clinics Corp PastSince Jan 29, 2023 Accepting new patients

Locations

637 E Main St
Mesa, AZ 85203
Phone (480) 272-8877

1635 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 249-1972

1430 E Missouri Ave
Ste B150
Phoenix, AZ 85014
Phone (281) 650-4324

10147 Grand Ave
Ste C4
Sun City, AZ 85351
Phone (480) 588-5464

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4086/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1942988381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 E LUDLOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325832",
            "telephone_number": "832-713-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142467",
            "telephone_number": "602-445-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORELLE",
        "first_name": "SYLVIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "289691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.