Phoenix Health Practitioners LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHOENIX HEALTH PRACTITIONERS LLC

Practice address

4222 N 12TH St Ste 200
Phoenix, AZ 85014-6024

Phone

(602) 795-9223

Fax

(602) 795-9728

NPI assigned

May 1, 2023

Last updated

May 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nehemiah AbugaNPI 1053237578

Title

Owner

Phone

(480) 450-5020

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaimie Lukose, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1457129819
  Medicare reassignment NPD
• Alice Nduku Mwanza, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1982390167

  Family Medicine

  Medicare reassignment NPD
• Caroline Bitutu Nyakweba, FNP

  • Family Nurse Practitioner
  • San Tan Valley, AZ
  • NPI 1407334303

  Family Medicine

  Medicare reassignment NPD
• Eric Mosokobe Ogari, FNP

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1316420631
  Medicare reassignment NPD
• Caroline Nyaboke Ombuna, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
  • NPI 1902558893
  Medicare reassignment NPD
• Tirsa Carolina Quartullo, CFNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1467455477
  Medicare reassignment NPD
• Nehemiah Abuga

  • Mental Health Counselor
  • Coolidge, AZ
  • NPI 1053237578
  Authorized official Same address or phone

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1205525839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12474 W FOREST PLEASANT PL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835666",
            "telephone_number": "602-795-9223",
            "fax_number": "602-795-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 N 12TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850146024",
            "telephone_number": "602-795-9223",
            "fax_number": "602-795-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-05-03",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ABUGA",
        "authorized_official_first_name": "NEHEMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-450-5020"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Gi Associates PC
• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission (Phoenix Rescue Mission)
• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission
• Phoenix Head and Neck Surgery LTD
• Phoenix Health & Wellness Center Inc.
• Phoenix Health Psychology, PLLC
• Phoenix Healthcare LLC (Grace Healthcare of Phoenix)
• Phoenix Heart Center, PC
• Phoenix Heart Hospice LLC
• Phoenix Home Health Nursing Services, Inc.

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.