Individual provider Active NPI

Ignacia Andrea Quirino, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1205435740
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
249884 Issued in AZ
Practice address
7620 W Thomas Rd Ste 104
Phoenix, AZ 85033-5436
Phone
(602) 888-1916
Fax
(602) 584-3444
NPI assigned
Oct 24, 2020
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 249884 AZ Primary
Emergency Registered Nurse 163WE0003X RN177163 AZ

Addresses

Primary practice location

7620 W Thomas Rd Ste 104
Phoenix, AZ 85033-5436

Mailing address

4056 Highlander Ave
Lake Havasu City, AZ 86406-9242
Phone (928) 566-3215

Other practice location 1

8022 N 27th Ave
Phoenix, AZ 85051-6302
Phone (602) 513-3616

Other practice location 2

1810 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5886
Phone (928) 453-4600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Na

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
I20210223002944 AZ Practitioner - Nurse Practitioner 4981019072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle del Sol IncGroup PAC ID 8628019148, 25 clinicians

Practice addresses (Care Compare)

8410 W Thomas Rd
Suite 116
Phoenix, AZ 85037-3356
Phone (602) 258-6797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN177163AZMDEmergency Registered Nurse
249884AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica del Sol, LLC CurrentSince Jan 4, 2021 Accepting new patients
My Health Family Clinic and Medical Spa LLC CurrentSince Apr 10, 2022 Accepting new patients
Valle del Sol, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Valle del Sol, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Guggiari Med PC Family CurrentSince Nov 1, 2020 Accepting new patients
Latino Care, LLC CurrentSince Apr 30, 2021 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Latino Care, LLC CurrentSince Apr 30, 2021 Accepting new patients

Locations

636 W Southern Ave
Mesa, AZ 85210
Phone (480) 969-5817

3102 E Indian School Rd
Ste 130
Phoenix, AZ 85016
Phone (602) 252-0202

3140 N 35th Ave
Ste 7
Phoenix, AZ 85017
Phone (602) 353-6656

3807 N 7th St
Phoenix, AZ 85014

5847 S 16th St
Phoenix, AZ 85040
Phone (602) 268-3451

7620 W Thomas Rd
Ste 104
Phoenix, AZ 85033
Phone (602) 888-1916

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

Organizations & group practices 8

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": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1205435740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 HIGHLANDER AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864069242",
            "telephone_number": "928-566-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 W THOMAS RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335436",
            "telephone_number": "602-888-1916",
            "fax_number": "602-584-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8022 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850516302",
            "country_code": "US",
            "telephone_number": "602-513-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Mesquite Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035886",
            "country_code": "US",
            "telephone_number": "928-453-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIRINO",
        "first_name": "IGNACIA",
        "middle_name": "ANDREA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "249884",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN177163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Na",
            "affiliation": "N",
            "address_1": "7620 W Thomas Rd Ste 104",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850335436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.