Active NPI
Marla Elaine Sample-Ormes, ARNP
- Family Nurse Practitioner
- New River, AZ
National Provider Identifier
1972707255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN095303 AP570
- Practice address
- 2940 W Wander Rd
New River, AZ 85087-6903 - Phone
- (623) 221-4409
- NPI assigned
- Jun 12, 2007
- Last updated
- Oct 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30002445 | WA | |
| Family Nurse Practitioner | 363LF0000X | RN095303 AP570 | AZ | Primary |
Addresses
Primary practice location
2940 W Wander Rd
New River, AZ 85087-6903
Mailing address
2940 W Wander Rd
New River, AZ 85087-6903
Phone (623) 465-8647
Other names 1
- Marla Elaine Sample Farmer
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | AZ | MD | Clinical Psychologist |
| RN095303 AP570 | AZ | MD | Family Nurse Practitioner |
| AP30002445 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Indian Community Center | Current | Accepting new patients | |
| Integrity Pain and Anesthesia PLLC | Past | Accepting new patients | |
| Sun Pain Management, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJIBDA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TLC HealthCare
- Family Nurse Practitioner
- New River, AZ
- NPI 1578031027
-
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
- NPI 1053839332
-
dba Integrity Pain and Wellness
- Pain Medicine Physician
- Scottsdale, AZ
- NPI 1386049070
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1427230788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1972707255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 W WANDER RD",
"city": "NEW RIVER",
"state": "AZ",
"postal_code": "850876903",
"telephone_number": "623-465-8647",
"fax_number": "623-465-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 W WANDER RD",
"city": "NEW RIVER",
"state": "AZ",
"postal_code": "850876903",
"telephone_number": "623-221-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE-ORMES",
"first_name": "MARLA",
"middle_name": "ELAINE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30002445",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN095303 AP570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLA",
"last_name": "SAMPLE FARMER",
"middle_name": "ELAINE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New River, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.