Individual provider Active NPI

Joy Andrews, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1124545041
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone
(602) 840-0681
Fax
(602) 957-1570
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536

Mailing address

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

Other names 1

  • Joy Fredrickson Former name

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
I20190103000427 AZ Practitioner - Physician Assistant 6002061264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan S Hott MD PLCGroup PAC ID 0244233542, 28 clinicians
Desert Spine and Sports Physicians PLLCGroup PAC ID 6608927504, 8 clinicians

Practice addresses (Care Compare)

3487 S Mercy Rd
Gilbert, AZ 85297-0432
Phone (602) 840-0681

3700 N 24TH St
Phoenix, AZ 85016-6536
Phone (602) 840-0681

6634 E Baseline Rd
Suite 101
Mesa, AZ 85206-4429
Phone (602) 840-0681

8670 E Shea Blvd
Suite 102
Scottsdale, AZ 85260-6656
Phone (602) 840-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Spine and Sports Physicians PLLC CurrentSince Oct 24, 2022 Accepting new patients

Locations

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

6634 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (602) 840-0681

13128 N 94th Dr
Ste 200
Peoria, AZ 85381
Phone (602) 840-0681

3700 N 24th St
Ste 210
Phoenix, AZ 85016
Phone (602) 840-0681

8670 E Shea Blvd
Ste 102
Scottsdale, AZ 85260
Phone (480) 585-5440

Organizations & group practices 4

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1124545041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "FREDRICKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.