Individual provider Active NPI

Daniel Villa-Quevedo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1235714189
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
261161 Issued in AZ
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

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805001847 AZ Practitioner - Nurse Practitioner 5092119503 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261161AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Family Care and Aesthetics LLC CurrentSince Mar 1, 2022 Accepting new patients
Daniel Pmhnp LLC Psychiatric/Mental Health CurrentSince Apr 27, 2025 Accepting new patients
Remind Health LLC CurrentSince Mar 28, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/25268/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.