Individual provider Active NPI

Louannie Thomas Godinez, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1154008357
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
293711 Issued in AZ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
132900MedicaidAZ

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
I20230927002831 AZ Practitioner - Nurse Practitioner 1759735533 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293711AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Aug 6, 2023 Accepting new patients
Mountain Park Health Center CurrentSince Aug 6, 2023 Accepting new patients
Arbor Medical Partners, LLC PastSince Jun 23, 2025 Accepting new patients
North Scottsdale Pediatric Associates PastSince Jun 23, 2025 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.

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

Verify at the official NPI Registry.