Individual provider Active NPI

Anzhela Davydov, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1194267070
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225621 Issued in AZ
Practice address
4647 N 32ND St Ste 220
Phoenix, AZ 85018-3392
Phone
(602) 907-5300
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225621 AZ Primary
Nurse Practitioner 363L00000X 225621 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225621 AZ
Family Nurse Practitioner 363LF0000X 95005178 CA

Addresses

Primary practice location

4647 N 32ND St Ste 220
Phoenix, AZ 85018-3392

Mailing address

7000 N 16TH St Ste 120-290
Phoenix, AZ 85020-5512
Phone (480) 808-9561

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
I20260108003173 AZ Practitioner - Nurse Practitioner 0446532873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 W Linger LN
Phoenix, AZ 85021-7288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225621AZMDNurse Practitioner
95005178CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Matters Az LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients

Locations

7000 N 16th St
Ste 120290
Phoenix, AZ 85020

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1194267070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST STE 120-290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205512",
            "telephone_number": "480-808-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 N 32ND ST STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183392",
            "telephone_number": "602-907-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOV",
        "first_name": "ANZHELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "225621",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "225621",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "225621",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.