Individual provider Active NPI

Audrey Atencio, ACNP-BC

  • Acute Care Clinical Nurse Specialist
  • Tempe, AZ
National Provider Identifier
1235509910
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
AP8112 Issued in AZ
Practice address
51 W 3Rd St Ste 500
Tempe, AZ 85281-2871
Phone
(480) 237-5098
Fax
(877) 358-8109
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X AP8112 AZ Primary

Addresses

Primary practice location

51 W 3Rd St Ste 500
Tempe, AZ 85281-2871

Mailing address

51 W 3Rd St Ste 500
Tempe, AZ 85281-2871
Phone (480) 237-5098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151110001335 AZ Practitioner - Nurse Practitioner 5698085322 Reassigns benefits to 1 organization
I20240322003328 CO Practitioner - Nurse Practitioner 5698085322 Reassigns benefits to 1 organization
I20240621000953 TX Practitioner - Nurse Practitioner 5698085322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Mar 1, 2024 Accepting new patients
Dispatchhealth-Arizona CurrentSince Nov 4, 2022 Accepting new patients
Dispatchhealth-Arizona CurrentSince Nov 4, 2022 Accepting new patients
Dispatchhealth-Texas P a CurrentSince May 28, 2024 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3841 W Charleston Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 848-4443

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

4109 City Point Dr
Richland Hills, TX 76180
Phone (817) 435-1970

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

Interoperability endpoints

  • Direct secure messaging: aatencio@directaddress.net

Organizations & group practices 6

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1235509910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W 3RD ST STE 500",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812871",
            "telephone_number": "480-237-5098",
            "fax_number": "877-358-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W 3RD ST STE 500",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812871",
            "telephone_number": "480-237-5098",
            "fax_number": "877-358-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "AUDREY",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "AZ",
            "license": "AP8112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.