Individual provider Active NPI

Rebecca Ann Zwick, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1104336221
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP10779 Issued in AZ
Practice address
4143 N 16TH St Ste 5
Phoenix, AZ 85016-5351
Phone
(602) 517-0321
Fax
(602) 532-7528
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN086667 AZ
Family Nurse Practitioner 363LF0000X TAP10779 AZ Primary

Addresses

Primary practice location

4143 N 16TH St Ste 5
Phoenix, AZ 85016-5351

Mailing address

4143 N 16TH St Ste 5
Phoenix, AZ 85016-5351
Phone (602) 517-0321

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
I20180110003334 AZ Practitioner - Nurse Practitioner 7416216858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4143 N 16TH St
Unit 5
Phoenix, AZ 85016-5351
Phone (602) 517-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN086667AZMDRegistered Nurse
TAP10779AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Hemorrhoid Solutions LLC Family CurrentSince Apr 15, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Dec 9, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Dec 9, 2017 Accepting new patients
Ahc - Arizona PLLC CurrentSince Oct 25, 2022 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

4143 N 16th St
Ste 5
Phoenix, AZ 85016
Phone (602) 517-0321

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

4143 N 16th St
Unit 5
Phoenix, AZ 85016
Phone (602) 517-0321

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

10250 N 92nd St
Ste 216
Scottsdale, AZ 85258
Phone (702) 482-9050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1104336221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 N 16TH ST STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165351",
            "telephone_number": "602-517-0321",
            "fax_number": "602-532-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 N 16TH ST STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165351",
            "telephone_number": "602-517-0321",
            "fax_number": "602-532-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWICK",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN086667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP10779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.