Individual provider Active NPI

Haveen Samed Qarini, RN, BSN, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1144931379
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222259 Issued in AZ
Practice address
3515 W Union Hills Dr
Glendale, AZ 85308-2429
Phone
(623) 328-8630
NPI assigned
Dec 8, 2022
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222259 AZ Primary

Addresses

Primary practice location

3515 W Union Hills Dr
Glendale, AZ 85308-2429

Mailing address

29762 N 69TH LN
Peoria, AZ 85383-3188
Phone (913) 216-7503

Other practice location 1

29762 N 69th Ln
Peoria, AZ 85383-3188
Phone (913) 216-7503

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
I20230726001611 AZ Practitioner - Nurse Practitioner 3375904170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovia LLCGroup PAC ID 1456629211, 28 clinicians

Practice addresses (Care Compare)

19636 N 27TH Ave
Suite 106
Phoenix, AZ 85027-4014
Phone (480) 712-4600

6060 N Fountain Plaza Dr
Suite 140
Tucson, AZ 85704-7874
Phone (480) 712-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222259AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peoria Urgent Care and Walk in Clinic PLLC CurrentSince Apr 23, 2024 Accepting new patients
Recovia LLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

1760 E Pecos Rd
Ste 432
Gilbert, AZ 85295

6553 E Baywood Ave
Ste 209
Mesa, AZ 85206
Phone (480) 985-8478

9163 W Union Hills Dr
Ste 107
Peoria, AZ 85382

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200

2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9250 W Thomas Rd
Ste 250
Phoenix, AZ 85037
Phone (623) 234-4130

8322 E Hartford Dr
Ste 100
Scottsdale, AZ 85255

1910 E Southern Ave
Tempe, AZ 85282
Phone (480) 219-7178

6060 N Fountain Plaza Dr
Ste 140
Tucson, AZ 85704

6400 E Grant Rd
Ste 170
Tucson, AZ 85715
Phone (520) 600-2716

Organizations & group practices 3

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1144931379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29762 N 69TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833188",
            "telephone_number": "913-216-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W UNION HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082429",
            "telephone_number": "623-328-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29762 N 69th Ln",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853833188",
            "country_code": "US",
            "telephone_number": "913-216-7503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QARINI",
        "first_name": "HAVEEN",
        "middle_name": "SAMED",
        "credential": "RN, BSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.