Individual provider Active NPI

Anida Pierson, FNP

  • Family Nurse Practitioner
  • Safford, AZ
National Provider Identifier
1194571372
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
305190 Issued in AZ
Practice address
2016 W 16TH St
Safford, AZ 85546-4026
Phone
(928) 428-1500
NPI assigned
Apr 27, 2024
Last updated
Apr 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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 305190 AZ Primary

Addresses

Primary practice location

2016 W 16TH St
Safford, AZ 85546-4026

Mailing address

5422 S Wagon Wheel Rd
Safford, AZ 85546-8300
Phone (928) 322-4340

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
I20240927002943 AZ Practitioner - Nurse Practitioner 4284165465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2016 W 16TH St
Safford, AZ 85546-4026
Phone (928) 428-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305190AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care CurrentSince Jul 1, 2024 Accepting new patients
Canyonlands Community Health Care Nurse Practitioner Current Accepting new patients
Canyonlands Community Health Care CurrentSince Jul 1, 2024 Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Canyonlands Community Health Care Past Accepting new patients

Locations

10 Ward Canyon Rd
#A
Clifton, AZ 85533
Phone (928) 645-9675

5860 S Hospital Dr
Ste 102
Globe, AZ 85501
Phone (928) 402-0491

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

2016 W 16th St
Safford, AZ 85546
Phone (520) 428-1377

Interoperability endpoints

  • Direct secure messaging: anida.pierson.p1@direct.canyonlands.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1194571372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 S WAGON WHEEL RD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855468300",
            "telephone_number": "928-322-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464026",
            "telephone_number": "928-428-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "ANIDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "305190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.