Individual provider Active NPI

Tekoya Moseline Calixte, NP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1033751086
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190324 Issued in AZ
Practice address
955 North McQueen Road, Suite 2
Chandler, AZ 85225-2329
Phone
(602) 617-9774
Fax
(602) 865-8527
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 233613 AZ
Family Nurse Practitioner 363LF0000X F10190324 AZ Primary

Addresses

Primary practice location

955 North McQueen Road, Suite 2
Chandler, AZ 85225-2329

Mailing address

955 North McQueen Road, Suite 2
Chandler, AZ 85225-2329
Phone (602) 617-9774

Other identifiers 1

IdentifierTypeStateIssuer
233613OtherAZARIZONA BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.calhealthfamilyclinic.com Direct

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
I20200205001924 AZ Practitioner - Nurse Practitioner 6709212020 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233613AZMDFamily Nurse Practitioner
F10190324AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cal-X Family Clinic PLC CurrentSince Sep 19, 2019 Accepting new patients

Locations

955 N McQueen Rd
Ste 2
Chandler, AZ 85225
Phone (602) 617-9774

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1033751086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NORTH MCQUEEN ROAD, SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252329",
            "telephone_number": "602-617-9774",
            "fax_number": "602-865-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NORTH MCQUEEN ROAD, SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252329",
            "telephone_number": "602-617-9774",
            "fax_number": "602-865-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTE",
        "first_name": "TEKOYA",
        "middle_name": "MOSELINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "233613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F10190324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING",
            "identifier": "233613",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.calhealthfamilyclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "955 North McQueen Road, Suite 2",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852252329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.