Individual provider Active NPI

Albert Villafania

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1174305700
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
300822 Issued in AZ
Practice address
8312 W Indianola Ave
Phoenix, AZ 85037-2438
Phone
(602) 394-5601
NPI assigned
Oct 18, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 300822 AZ Primary

Addresses

Primary practice location

8312 W Indianola Ave
Phoenix, AZ 85037-2438

Mailing address

8312 W Indianola Ave
Phoenix, AZ 85037-2438
Phone (602) 394-5601

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
I20250731001977 AZ Practitioner - Nurse Practitioner 5294243457 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300822AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Neurology and Sleep Medicine PLLC CurrentSince May 3, 2025 Accepting new patients

Locations

2940 N Litchfield Rd
Goodyear, AZ 85395
Phone 6235350050112

300 E Osborn Rd
Ste 200
Phoenix, AZ 85012

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1174305700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 W INDIANOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372438",
            "telephone_number": "602-394-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 W INDIANOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372438",
            "telephone_number": "602-394-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANIA",
        "first_name": "ALBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "300822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.