Active NPI
Anariza Grush
- Nurse Practitioner
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP-02554
- Practice address
- 1001 W Broadway
Farmington, NM 87401-5638 - Phone
- (505) 327-4796
- NPI assigned
- Jan 13, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP-02554 | NM | Primary |
| Community Health Nurse Practitioner | 363LC1500X | CNP-02554 | NM |
Addresses
Primary practice location
1001 W Broadway
Farmington, NM 87401-5638
Mailing address
6405 S 3000 E Ste 201
Salt Lake City, UT 84121-6990
Phone (801) 266-3113
Other practice location 1
4740 N Butler Ave
Farmington, NM 87401
Phone (505) 324-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150204001228 | NM | Practitioner - Nurse Practitioner | 9133444656 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4740 N Butler Ave
Farmington, NM 87401-0826
Phone (505) 324-6300
4760 N Butler Ave
Farmington, NM 87401-0816
Phone (505) 324-6300
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02554 | NM | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Innovation Medical Group PC | Community Health | Current | Accepting new patients |
Locations
406 S Park Ave
Aztec, NM 87410
Phone (505) 334-2852
4740 N Butler Ave
Farmington, NM 87401
Phone (505) 324-6300
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
6405 S 3000 E
Ste 201
Salt Lake City, UT 84121
6405 S 3000 E
Ste 300
Salt Lake Cty, UT 84121
Phone (801) 266-5113
4624 S Holladay Blvd
Ste 201
Slc, UT 84117
Phone (385) 234-4785
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDIHDD/Endpoint/JDIHDD
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.
-
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
NM
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1306175922
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
Hospital
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1013306166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 S 3000 E STE 201",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216990",
"telephone_number": "801-266-3113",
"fax_number": "801-266-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W BROADWAY",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015638",
"telephone_number": "505-327-4796"
}
],
"practiceLocations": [
{
"address_1": "4740 N Butler Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "87401",
"country_code": "US",
"telephone_number": "505-324-6300",
"fax_number": "505-327-2218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUSH",
"first_name": "ANARIZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "CNP-02554",
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "NM",
"license": "CNP-02554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.