Nicole Angelina Hennigan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220086 Issued in AZ

Practice address

42302 N Vision Way Ste 114
Anthem, AZ 85086-1468

Phone

(623) 570-2162

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Angelina Ricci Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Soal Wellness LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1316641970
  Medicare reassignment NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1124502273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42302 N VISION WAY STE 114",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861468",
            "telephone_number": "623-570-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42302 N VISION WAY STE 114",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861468",
            "telephone_number": "623-570-2162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11209 N Tatum Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283024",
            "country_code": "US",
            "telephone_number": "602-730-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "NICOLE",
        "middle_name": "ANGELINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN161920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RICCI",
            "middle_name": "ANGELINA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Katherine Havelind
• Theresa M Hay
• Bryan Michael Hays, DMD
• HDP North Valley Dental LLC
• Healthproassist LLC
• Gary Henshaw, RPH
• Samuel Brian Hester, DC
• Ronda Elaine Hicks
• Alisa Hirschberg, PHARM.D.
• Frederick Alan Hirth, RPH

• Family Nurse Practitioner in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.