Individual provider Active NPI

Janine Hope Altobelli, AGNP-C

  • Primary Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1023489192
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP8168 Issued in AZ
Practice address
6840 E Brown Rd Ste 101
Mesa, AZ 85207-3759
Phone
(480) 285-2150
Fax
(480) 285-2151
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170905000315 AZ Practitioner - Nurse Practitioner 9032409016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8168AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Primary Care & Wellness, PLLC CurrentSince Mar 17, 2019 Accepting new patients

Locations

6730 E McDowell Rd
Ste 139
Scottsdale, AZ 85257
Phone (480) 530-0230

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP8168 AZ
Primary Care Nurse Practitioner 363LP2300X AP8168 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

6840 E Brown Rd Ste 101
Mesa, AZ 85207-3759

Mailing address

6730 E McDowell Rd Ste 139
Scottsdale, AZ 85257-3135
Phone (480) 530-0230

Other practice location 1

6730 E McDowell Rd Ste 139
Scottsdale, AZ 85257-3135
Phone (480) 530-0230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2019.

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1023489192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 E MCDOWELL RD STE 139",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573135",
            "telephone_number": "480-530-0230",
            "fax_number": "480-530-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073759",
            "telephone_number": "480-285-2150",
            "fax_number": "480-285-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6730 E McDowell Rd Ste 139",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852573135",
            "country_code": "US",
            "telephone_number": "480-530-0230",
            "fax_number": "480-530-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTOBELLI",
        "first_name": "JANINE",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8168",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP8168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.