Active NPI
Anita McDuff Wales, NNP
- Neonatal Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1144246869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 45501
- Practice address
- 300 W Clarendon Ave
Ste 375
Phoenix, AZ 85013-3420 - Phone
- (602) 277-4161
- Fax
- (602) 266-3481
- NPI assigned
- Jul 14, 2006
- Last updated
- May 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 45501 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
Ste 375
Phoenix, AZ 85013-3420
Mailing address
300 W Clarendon Ave
Ste 375
Phoenix, AZ 85013-3420
Phone (602) 277-4161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541757 | Medicaid | AZ |
Other names 1
- Anita Robyn Wales
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neonatology Associates, LTD | Neonatal | Past | Accepting new patients |
Organizations & group practices 1
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": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1144246869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "STE 375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4161",
"fax_number": "602-266-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "STE 375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4161",
"fax_number": "602-266-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALES",
"first_name": "ANITA",
"middle_name": "MCDUFF",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "45501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541757",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "WALES",
"middle_name": "ROBYN",
"credential": "NNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Phoenix, AZ
- Kristen Kelli Waldron, PT, DPT
- Laura Elizabeth Waldron, DO
- Olivia Waldron, FNP
- Oliver Grey Waldrop, MD
- Waleed Alsadi, O.D., P.C. (Advanced Eye Care Center)
- Steven E. Wales, LPC
- Walgreen Co (Walgreens #06599)
- Walgreen Co (Walgreens #04951)
- Walgreen Co (Walgreens #04722)
- Walgreen Co (Walgreens #04909)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.