Active NPI
Jan M Hughes, NNP
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1184643892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2572
- Practice address
- 300 W Clarendon Ave
375
Phoenix, AZ 85013-3420 - Phone
- (602) 277-4161
- Fax
- (602) 274-3394
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2572 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Mailing address
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone (602) 277-4161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 629305 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pacific Cardiology Medical | Past | Accepting new patients | |
| Neonatology Associates, LTD | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Arcata, CA
- NPI 1093821837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184643892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4161",
"fax_number": "602-274-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "375",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-277-4161",
"fax_number": "602-274-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "JAN",
"middle_name": "M",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "629305",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.