Individual provider Active NPI

Allison Marie Popa, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1073209276
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03230359 Issued in AZ
Practice address
2840 N Dysart Rd
Goodyear, AZ 85395-2338
Phone
(623) 536-5309
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03230359 AZ Primary

Addresses

Primary practice location

2840 N Dysart Rd
Goodyear, AZ 85395-2338

Mailing address

2840 N Dysart Rd
Goodyear, AZ 85395-2338
Phone (623) 536-5309

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
I20230707001379 AZ Practitioner - Nurse Practitioner 3678932761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2840 N Dysart Rd
Goodyear, AZ 85395-2338
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03230359AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Jun 12, 2023 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

2840 N Dysart Rd
Goodyear, AZ 85395
Phone (623) 536-5309

3210 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 788-4793

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHIDD/Endpoint/JGHIDD

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1073209276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 N DYSART RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952338",
            "telephone_number": "623-536-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 N DYSART RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952338",
            "telephone_number": "623-536-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPA",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F03230359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.