Active NPI
Lourdes Carolyne Pothast, FNP
- Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 300841
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5499 - Phone
- (480) 301-8000
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 300841 | AZ | |
| Nurse Practitioner | 363L00000X | 300841 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Mailing address
14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone (623) 935-9600
Other practice location 1
14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone (623) 935-9600
Other practice location 2
21753 N 77th Ave
Peoria, AZ 85382-2110
Phone (623) 935-9600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpothast1812190@ehrdirect.mayoclinicmsg.org |
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
Enrollment records 1
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
Practice addresses (Care Compare)
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000
20199 N 75TH Ave
Arrowhead Prim Care
Glendale, AZ 85308-8807
Phone (623) 561-5252
5701 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 342-4200
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
5779 E Mayo Blvd
Speciality Building
Phoenix, AZ 85054-4502
Phone (480) 301-8000
Hospital & facility affiliations
- Mayo Clinic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300841 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Pinnacle Family Medicine PLC | Current | Accepting new patients | |
| Pinnacle Family Medicine PLC | Current | Accepting new patients |
Locations
14044 W Camelback Rd
Ste 204
Litchfield Pk, AZ 85340
Phone (623) 535-5599
21753 N 77th Ave
Peoria, AZ 85382
Phone (623) 935-9600
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
13400 E Shea Blvd
Scottsdale, AZ 85259
Interoperability endpoints
- lpothast1812190@ehrdirect.mayoclinicmsg.org
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Family Medicine Physician
- Litchfield Park, AZ
- NPI 1639208325
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Family Medicine Physician
- Peoria, AZ
- NPI 1093590341
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1154392231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1992574768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 204",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409426",
"telephone_number": "623-935-9600",
"fax_number": "623-935-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595499",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "14044 W Camelback Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Litchfield Park",
"state": "AZ",
"postal_code": "853409426",
"country_code": "US",
"telephone_number": "623-935-9600",
"fax_number": "623-935-9602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21753 N 77th Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853822110",
"country_code": "US",
"telephone_number": "623-935-9600",
"fax_number": "623-935-9602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTHAST",
"first_name": "LOURDES",
"middle_name": "CAROLYNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "300841",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "300841",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpothast1812190@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595499",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.