Individual provider Active NPI

Annalyn Rasul

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1043923139
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
285308 Issued in AZ
Practice address
1095 E Indian School Rd Ste 700
Phoenix, AZ 85014-4846
Phone
(602) 491-8015
NPI assigned
Jan 4, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 285308 AZ Primary

Addresses

Primary practice location

1095 E Indian School Rd Ste 700
Phoenix, AZ 85014-4846

Mailing address

1095 E Indian School Rd Ste 700
Phoenix, AZ 85014-4846

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
I20230407000530 AZ Practitioner - Nurse Practitioner 2264807106 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Serenity Behavioral Health Services LLC CurrentSince Apr 20, 2025 Accepting new patients
Psych Zenhealth PLLC Psychiatric/Mental Health CurrentSince Jun 17, 2023 Accepting new patients
Psychzen Mobile Partners PLLC Psychiatric/Mental Health CurrentSince Nov 26, 2023 Accepting new patients
Cactus Serenity Behavioral Health Services LLC Nurse Practitioner CurrentSince Mar 31, 2024 Accepting new patients
Wellbeing Institute Inc Past Accepting new patients
Wellbeing Institute Inc Past Accepting new patients

Locations

3515 W Union Hills Dr
Ste 114B
Glendale, AZ 85308
Phone (602) 612-3124

1095 E Indian School Rd
Ste 700
Phoenix, AZ 85014
Phone (602) 515-9893

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1043923139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 E INDIAN SCHOOL RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 E INDIAN SCHOOL RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144846",
            "telephone_number": "602-491-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASUL",
        "first_name": "ANNALYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "285308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.