Arizona State University

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

Legal business name

ARIZONA STATE UNIVERSITY

Doing business as

ASU Breaking the Cycle Community Healthcare

Practice address

1124 N 3Rd St
Phoenix, AZ 85004-1805

Phone

(602) 523-9275

Fax

(602) 258-4345

NPI assigned

Oct 30, 2007

Organization subpart

Yes

Parent organization

ARIZONA STATE UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Dr. Denise Giannascoli Link, NURSE PRACTITIONER

Title

Assoc. Dean for Clinical Practice

Phone

(602) 496-0893

Specialties & licenses 1

Addresses

Other names 1

• ASU Breaking the Cycle Community Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Arizona State University

  dba ASU Health Services Downtown NP Healthcare

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1144387978

  O20040721001291

  Same enrollment
• Arizona State University

  dba Escalante Health Center

  • Clinic/Center
  • Tempe, AZ
  • NPI 1194058917

  O20040721001291

  Same enrollment
• Arizona State University

  dba North Tempe Health Center

  • Clinic/Center
  • Tempe, AZ
  • NPI 1396072682

  O20040721001291

  Same enrollment
• Arizona State University

  dba NP Healthcare - Scottsdale

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1447439195

  O20040721001291

  Same enrollment
• Arizona State University

  • Audiologist
  • Tempe, AZ
  • NPI 1952338865

  O20040721001291

  Same enrollment

Part of

Arizona State University Campus Health Pharmacy

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristi Coursen, WHNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1821265844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1164601811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042135",
            "telephone_number": "602-523-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041805",
            "telephone_number": "602-523-9275",
            "fax_number": "602-258-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA STATE UNIVERSITY",
        "enumeration_date": "2007-10-30",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "GIANNASCOLI",
        "authorized_official_title_or_position": "ASSOC. DEAN FOR CLINICAL PRACTICE",
        "authorized_official_telephone_number": "602-496-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASU Breaking the Cycle Community Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona Sports Chiropractic
• Arizona Sports Medicine Consultants PC
• Arizona Star Health Services
• Arizona State Public Health Laboratory (ADHS Newborn Screening Program)
• Arizona State University (ASU Health Services Downtown NP Healthcare)
• Arizona State University
• Arizona Sunrays, Inc.
• Arizona Sunrise Counseling
• Arizona Supportive Care, LLC
• Arizona Surgeons Assistant PC

• Ambulatory Family Planning Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Family Planning Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.