Individual provider Active NPI

Heather Geyman, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1013737394
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240930 Issued in AZ
Practice address
19875 N 51St Ave
Glendale, AZ 85308-5114
Phone
(623) 581-8998
Fax
(623) 581-8998
NPI assigned
Oct 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 240930 AZ Primary

Addresses

Primary practice location

19875 N 51St Ave
Glendale, AZ 85308-5114

Mailing address

19875 N 51St Ave
Glendale, AZ 85308-5114

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209003211 AZ Practitioner - Nurse Practitioner 2163958562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renew Medical Center, LLCGroup PAC ID 4082029707, 3 clinicians
Sonoran Medical CentersGroup PAC ID 0648260364, 12 clinicians

Practice addresses (Care Compare)

17250 N 43Rd Ave
Suite 5
Glendale, AZ 85308-4037
Phone (623) 842-1261

19875 N 51St Ave
Glendale, AZ 85308-5114
Phone (623) 581-8998

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Medical Center, LLC CurrentSince Mar 3, 2026 Accepting new patients
Sonoran Medical Centers Family Medicine CurrentSince Dec 2, 2024 Accepting new patients
Lankford Holdings Monogram, Inc PastSince Oct 1, 2024 Accepting new patients
Corner Health Medical Group P a Family Past Accepting new patients

Locations

17250 N 43rd Ave
Ste 5
Glendale, AZ 85308
Phone (623) 842-1261

19875 N 51st Ave
Glendale, AZ 85308
Phone (623) 581-8998

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: heather.geyman.p1@direct.sonoranmed.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1013737394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085114",
            "telephone_number": "623-581-8998",
            "fax_number": "623-581-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYMAN",
        "first_name": "HEATHER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.