Individual provider Active NPI

Marla Elaine Sample-Ormes, ARNP

  • Family Nurse Practitioner
  • New River, AZ
National Provider Identifier
1972707255
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN095303 AP570 Issued in AZ
Practice address
2940 W Wander Rd
New River, AZ 85087-6903
Phone
(623) 221-4409
NPI assigned
Jun 12, 2007
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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 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 Former name

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

LicenseStateTypeSpecialty
570AZMDClinical Psychologist
RN095303 AP570AZMDFamily Nurse Practitioner
AP30002445WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Indian Community Center Current Accepting new patients
Integrity Pain and Anesthesia PLLC Past Accepting new patients
Sun Pain Management, PLLC PastSince Feb 29, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.