Individual provider Active NPI

Anne N Njuguna, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1124789441
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1059246 Issued in TX
Practice address
14500 Dallas Pkwy
Dallas, TX 75254-8360
Phone
(469) 877-6078
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1059246 TX Primary

Addresses

Primary practice location

14500 Dallas Pkwy
Dallas, TX 75254-8360

Mailing address

14500 Dallas Pkwy
Dallas, TX 75254-8360
Phone (469) 877-6078

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
I20221201001323 AZ Practitioner - Nurse Practitioner 5799153318 Reassigns benefits to 1 organization
Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

358 E Javelina Ave
Suite 101
Mesa, AZ 85210-6205
Phone (480) 507-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1059246TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viltality Care PLLC Psychiatric/Mental Health CurrentSince Sep 7, 2024 Accepting new patients
Community Bridges, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc CurrentSince Oct 1, 2022 Accepting new patients
Community Bridges, Inc. Current Accepting new patients

Locations

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

1110 W Elliot Rd
Tempe, AZ 85284
Phone (469) 877-6078

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: anne.njugunabhp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 5

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": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1124789441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548360",
            "telephone_number": "469-877-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548360",
            "telephone_number": "469-877-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUGUNA",
        "first_name": "ANNE",
        "middle_name": "N",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1059246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.