NPIMap

Organization Active NPI

Cigna Medical Group

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1003270596
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8558 Issued in AZ
Legal business name
CIGNA MEDICAL GROUP
Practice address
3003 N 3Rd St
Phoenix, AZ 85012-3031
Phone
(602) 282-9800
NPI assigned
Apr 11, 2016
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CIGNA HEALTHCARE OF ARIZONA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Yolanda Renee Green
Title
Credentialing Specialist
Phone
(623) 277-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8558 AZ Primary

Addresses

Primary practice location

3003 N 3Rd St
Phoenix, AZ 85012-3031

Mailing address

8888 E Raintree Dr FL 3
Scottsdale, AZ 85260-3951
Phone (602) 328-8400

National Provider Directory

National Provider Directory
Tax ID family
George J Walker MD10 organizations share this tax ID, including this one
Part of
George J Walker MD

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1003270596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 E RAINTREE DR FL 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603951",
            "telephone_number": "602-328-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123031",
            "telephone_number": "602-282-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIGNA HEALTHCARE OF ARIZONA, INC",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "623-277-1130"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8558",
            "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 Jun 16, 2023; 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.