Individual provider Active NPI

Anariza Grush

  • Nurse Practitioner
  • Farmington, NM
National Provider Identifier
1013306166
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-02554 Issued in NM
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Taylor G Wright PCGroup PAC ID 8426362450, 28 clinicians

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 Hospital, Farmington, NM, CCN 320005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-02554NMMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Jan 26, 2015 Accepting new patients
Presbyterian Medical Services CurrentSince Jan 26, 2015 Accepting new patients
Innovation Medical Group PC Community Health CurrentSince Apr 1, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.