Individual provider Active NPI

Aneta Arzumanova, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1073236360
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
283384 Issued in AZ
Practice address
5421 W Thunderbird Rd
Glendale, AZ 85306-4751
Phone
(602) 755-0800
Fax
(602) 560-2721
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 283384 AZ Primary

Addresses

Primary practice location

5421 W Thunderbird Rd
Glendale, AZ 85306-4751

Mailing address

PO Box 24981
Belfast, ME 04915-2000
Phone (844) 969-0686

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
I20221229002357 AZ Practitioner - Nurse Practitioner 1153791579 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
Link Medical IncGroup PAC ID 1759657604, 7 clinicians

Practice addresses (Care Compare)

6710 N 47TH Ave
Suite 4
Glendale, AZ 85301-4111
Phone (833) 224-5538

Hospital & facility affiliations

  • Billet Home Health Inc- Peoria Home health agency, Peoria, AZ, CCN 037437

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Link Medical Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930

6710 N 47th Ave
Ste 4
Glendale, AZ 85301

6710 N 47th Ave
Glendale, AZ 85301
Phone (323) 717-7707

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

Interoperability endpoints

  • Direct secure messaging: aneta.arzumanova@583211441192964.direct.elationemr.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1073236360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24981",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152000",
            "telephone_number": "844-969-0686",
            "fax_number": "773-832-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064751",
            "telephone_number": "602-755-0800",
            "fax_number": "602-560-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARZUMANOVA",
        "first_name": "ANETA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "283384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.