Individual provider Active NPI

Micayla Norian

  • Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1124800669
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
240366 Issued in AZ
Practice address
16430 W Yuma Rd
Goodyear, AZ 85338-3102
Phone
(623) 465-6405
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 7671175 ID
Nurse Practitioner 363L00000X 240366 AZ Primary

Addresses

Primary practice location

16430 W Yuma Rd
Goodyear, AZ 85338-3102

Mailing address

30731 W Weldon Ave
Buckeye, AZ 85396-6764
Phone (707) 812-4696

Other practice location 1

1115 12th Ave Rd
Nampa, ID 83686-5738
Phone (208) 498-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20251027003883 ID Practitioner - Nurse Practitioner 7416499686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians

Practice addresses (Care Compare)

1115 12TH Ave Rd
Nampa, ID 83686-5738
Phone (208) 498-1080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7671175IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC Multi-Specialty Current Accepting new patients
Alliance Medical Group, LLC Multi-Specialty Current Accepting new patients
Banner Urgent Care Arizona LLC Multi-Specialty Current Accepting new patients
Alliance Medical Group, LLC Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

7089 N Thornydale Rd
Ste 101
Tucson, AZ 85741
Phone (520) 694-6600

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

1115 12th Ave Rd
Nampa, ID 83686
Phone (208) 498-1080

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1124800669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30731 W WELDON AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853966764",
            "telephone_number": "707-812-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 W YUMA RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383102",
            "telephone_number": "623-465-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 12th Ave Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836865738",
            "country_code": "US",
            "telephone_number": "208-498-1080",
            "fax_number": "208-498-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORIAN",
        "first_name": "MICAYLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "7671175",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "240366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.