Individual provider Active NPI

Natisha Lynn Zevnick, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1033927892
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
249423 Issued in AZ
Practice address
13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629
Phone
(623) 512-4390
NPI assigned
Dec 26, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 885747 NV
Family Nurse Practitioner 363LF0000X 249423 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629

Mailing address

15806 N 136TH LN
Surprise, AZ 85374-5380
Phone (775) 292-0831

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
I20250508002700 AZ Practitioner - Nurse Practitioner 7315464708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology LLCGroup PAC ID 9537566930, 11 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 302
Goodyear, AZ 85395-2629
Phone (623) 512-4390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
885747NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology LLC CurrentSince Jan 27, 2025 Accepting new patients
Palo Verde Hematology Oncology LTD. PastSince Jan 1, 2017 Accepting new patients

Locations

1488 W Elliot Rd
Gilbert, AZ 85233

20325 N 51st Ave
Ste 170
Glendale, AZ 85308
Phone 6232494928 ext. 3352

13555 W McDowell Rd
Ste 302
Goodyear, AZ 85395

3815 E Bell Rd
Ste 4200
Phoenix, AZ 85032

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15230/brand/1/csg/1/fhir/r4
  • Direct secure messaging: natisha.zevnick.1@15230.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1033927892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15806 N 136TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745380",
            "telephone_number": "775-292-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 302",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "623-512-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEVNICK",
        "first_name": "NATISHA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "885747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "249423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.