Active NPI
Daniel Villa-Quevedo, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Buckeye, AZ
National Provider Identifier
1235714189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 261161
- Practice address
- 23839 W Chipman Rd
Buckeye, AZ 85326-7341 - Phone
- (602) 565-8806
- NPI assigned
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN207780 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 261161 | AZ | Primary |
Addresses
Primary practice location
23839 W Chipman Rd
Buckeye, AZ 85326-7341
Mailing address
5766 W Lupine Ave
Glendale, AZ 85304-3329
Phone (602) 565-8806
Other practice location 1
16421 N Tatum Blvd Ste 203
Phoenix, AZ 85032-3457
Phone (480) 234-3626
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261161 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estrella Family Care and Aesthetics LLC | Current | Accepting new patients | |
| Daniel Pmhnp LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Remind Health LLC | Current | Accepting new patients |
Locations
7201 W Camino San Xavier
Glendale, AZ 85308
Phone (623) 773-6100
500 N Estrella Pkwy
Ste B2272
Goodyear, AZ 85338
Phone (602) 501-2352
Interoperability endpoints
- https://api.platform.athenahealth.com/25268/brand/1/csg/1/fhir/r4
- daniel.villa-quevedo.1@25268.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Goodyear, AZ
- NPI 1912666868
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1679216725
-
- Psychiatric/Mental Health Nurse Practitioner
- Buckeye, AZ
- NPI 1467248757
-
- Psychiatry Physician
- Avondale, AZ
- NPI 1700238318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1235714189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5766 W LUPINE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043329",
"telephone_number": "602-565-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23839 W CHIPMAN RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853267341",
"telephone_number": "602-565-8806"
}
],
"practiceLocations": [
{
"address_1": "16421 N Tatum Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850323457",
"country_code": "US",
"telephone_number": "480-234-3626",
"fax_number": "727-245-0166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLA-QUEVEDO",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-12",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN207780",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "261161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.