Organization Active NPI

Heidi Pence Psynp, Inc

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1972715670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
HEIDI PENCE PSYNP, INC
Practice address
1037 E Missouri Ave
Phoenix, AZ 85014-2663
Phone
(402) 486-7073
Fax
(402) 434-6047
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heidi Pence, RN
Title
Owner
Phone
(402) 486-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

1037 E Missouri Ave
Phoenix, AZ 85014-2663

Mailing address

5025 N Central Ave
Suite 402
Phoenix, AZ 85012-1520
Phone (402) 486-7073

National Provider Directory

National Provider Directory

Locations

5025 N Central Ave
Ste 402
Phoenix, AZ 85012

1037 E Missouri Ave
Phoenix, AZ 85014
Phone (602) 393-2373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972715670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N CENTRAL AVE",
            "address_2": "SUITE 402",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121520",
            "telephone_number": "402-486-7073",
            "fax_number": "402-434-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142663",
            "telephone_number": "402-486-7073",
            "fax_number": "402-434-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI PENCE PSYNP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-486-7073",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.