Individual provider Active NPI

Naomi Arlene Duffett, NP

  • Family Nurse Practitioner
  • San Manuel, AZ
National Provider Identifier
1235808205
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
262996 Issued in AZ
Practice address
23 S McNab Pkwy
San Manuel, AZ 85631-1156
Phone
(520) 385-2234
Fax
(520) 381-3209
NPI assigned
Sep 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 262996 AZ Primary

Addresses

Primary practice location

23 S McNab Pkwy
San Manuel, AZ 85631-1156

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other practice location 1

5326 E Edwin Rd
Catalina, AZ 85739-9789
Phone (520) 260-5370

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
I20220112000497 AZ Practitioner - Nurse Practitioner 4183016736 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262996AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Ama Family Practice PLLC CurrentSince May 9, 2023 Accepting new patients
Ama Medical Services Nurse Practitioner PastSince May 9, 2023 Accepting new patients

Locations

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

23 S McNab Pkwy
San Manuel, AZ 85631
Phone (520) 385-2234

6600 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 575-9007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24675/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1235808205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MCNAB PKWY",
            "city": "SAN MANUEL",
            "state": "AZ",
            "postal_code": "856311156",
            "telephone_number": "520-385-2234",
            "fax_number": "520-381-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5326 E Edwin Rd",
            "address_purpose": "LOCATION",
            "city": "Catalina",
            "state": "AZ",
            "postal_code": "857399789",
            "country_code": "US",
            "telephone_number": "520-260-5370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFETT",
        "first_name": "NAOMI",
        "middle_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Manuel, AZ

Sources for this page

Verify at the official NPI Registry.