Individual provider Active NPI

Nyasha McGinnis, NP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1184041493
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP5449 Issued in AZ
Practice address
9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Phone
(602) 266-8463
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP5449 AZ Primary

Addresses

Primary practice location

9328 E Raintree Dr
Scottsdale, AZ 85260-2098

Mailing address

9328 E Raintree Dr
Scottsdale, AZ 85260-2098
Phone (602) 266-8463

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
I20140829000106 AZ Practitioner - Nurse Practitioner 5092933234 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5449AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Endocrinology, Diabetes & Metabolism, PC CurrentSince Jun 30, 2014 Accepting new patients

Locations

9500 E Ironwood Square Dr
Ste 201
Scottsdale, AZ 85258
Phone (480) 323-4800

Dept 3472
Los Angeles, CA 90084

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBHBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1184041493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602098",
            "telephone_number": "602-266-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602098",
            "telephone_number": "602-266-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "NYASHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.