Individual provider Active NPI

Lincy Maldonado

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1174981310
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8438 Issued in AZ
Practice address
525 N 18TH St Ste 605
Phoenix, AZ 85006-4101
Phone
(602) 251-8741
NPI assigned
Feb 2, 2016
Last updated
Jun 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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 AP8438 AZ Primary

Addresses

Primary practice location

525 N 18TH St Ste 605
Phoenix, AZ 85006-4101

Mailing address

4226 N 22ND St Unit 25
Phoenix, AZ 85016-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160810000012 AZ Practitioner - Nurse Practitioner 2769776079 Reassigns benefits to 4 organizations
I20230429000259 IA Practitioner - Nurse Practitioner 2769776079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP8438AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Apr 15, 2017 Accepting new patients
Good Health Medical, PLLC CurrentSince Apr 15, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Sun Valley Pediatric and Family Urgent Care PC CurrentSince Jul 31, 2018 Accepting new patients
Signify Health, LLC CurrentSince Oct 30, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

135 E Ray Rd
Ste 3
Chandler, AZ 85225
Phone (480) 208-4931

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

400 E Court Ave
Ste 110
Des Moines, IA 50309

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lmaldonado126491@direct.valleywisehealth.org

Organizations & group practices 9

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1174981310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 N 22ND ST UNIT 25",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 18TH ST STE 605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064101",
            "telephone_number": "602-251-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "LINCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.