Active NPI
Louannie Thomas Godinez, NP
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 293711
- Practice address
- 9150 W Indian School Rd Ste 127
Phoenix, AZ 85037-2388 - Phone
- (623) 931-3028
- Fax
- (623) 931-3029
- NPI assigned
- Jun 29, 2023
- Last updated
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 293711 | AZ | |
| Nurse Practitioner | 363L00000X | 293711 | AZ | Primary |
Addresses
Primary practice location
9150 W Indian School Rd Ste 127
Phoenix, AZ 85037-2388
Mailing address
9827 N 95TH St Ste 105
Scottsdale, AZ 85258-4591
Phone (623) 931-3028
Other practice location 1
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone (602) 323-3344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132900 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293711 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center | Current | Accepting new patients | |
| Mountain Park Health Center | Current | Accepting new patients | |
| Arbor Medical Partners, LLC | Past | Accepting new patients | |
| North Scottsdale Pediatric Associates | Past | Accepting new patients |
Locations
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492
635 E Baseline Rd
Phoenix, AZ 85042
6601 W Thomas Rd
Phoenix, AZ 85033
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1558308825
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1386452415
-
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1023546082
-
- Pediatrics Physician
- Scottsdale, AZ
- NPI 1275797235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1154008357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9827 N 95TH ST STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584591",
"telephone_number": "623-931-3028",
"fax_number": "623-931-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 W INDIAN SCHOOL RD STE 127",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850372388",
"telephone_number": "623-931-3028",
"fax_number": "623-931-3029"
}
],
"practiceLocations": [
{
"address_1": "6601 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850335700",
"country_code": "US",
"telephone_number": "602-323-3344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODINEZ",
"first_name": "LOUANNIE",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "293711",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "293711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132900",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.