Active NPI
Joan Elayne Roney, NP
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1063478063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN093694
- Practice address
- 3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032 - Phone
- (602) 867-8644
- Fax
- (602) 795-5698
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN093964 | AZ | |
| Family Nurse Practitioner | 363LF0000X | RN093694 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032
Mailing address
PO Box 98819
Las Vegas, NV 89193-8819
Phone (602) 867-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 980880 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN093694 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Phoenix Heart Center | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1043241979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1063478063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98819",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938819",
"telephone_number": "602-867-8644",
"fax_number": "602-795-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "SUITE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85032",
"telephone_number": "602-867-8644",
"fax_number": "602-795-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONEY",
"first_name": "JOAN",
"middle_name": "ELAYNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN093964",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN093694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "980880",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.