Individual provider Active NPI

Allison M Gaylor, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1114267887
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4870 Issued in AZ
Practice address
11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-3091
Phone
(602) 494-5155
NPI assigned
Feb 18, 2013
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 99436 MT
Family Nurse Practitioner 363LF0000X AP4870 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-3091

Mailing address

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone (602) 494-5155

Other practice location 1

11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-3091
Phone (602) 494-5155

Other practice location 2

1006 W Main St
Bozeman, MT 59715-3219
Phone (406) 414-4800

Other practice location 3

905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone (406) 414-4250

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
I20130417000730 AZ Practitioner - Nurse Practitioner 9931345949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Physicians Group LLCGroup PAC ID 9830482330, 3 clinicians

Practice addresses (Care Compare)

3646 E Los Gatos Dr
Phoenix, AZ 85050-8305
Phone (602) 363-1116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99436MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Group LLC CurrentSince Nov 5, 2023 Accepting new patients
Desert Valley Radiology, PLC PastSince Mar 5, 2013 Accepting new patients

Locations

20235 N Cave Creek Rd
Ste 104
Phoenix, AZ 85024
Phone (602) 363-1116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22543/brand/1/csg/1/fhir/r4

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, 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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1114267887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-494-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11209 N Tatum Blvd",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283091",
            "country_code": "US",
            "telephone_number": "602-494-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153219",
            "country_code": "US",
            "telephone_number": "406-414-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Highland Blvd Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156903",
            "country_code": "US",
            "telephone_number": "406-414-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLOR",
        "first_name": "ALLISON",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "99436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.