Individual provider Active NPI

Jane-Frances Ndemanu, FNP

  • Primary Care Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1255700506
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP8155 Issued in AZ
Practice address
18168 W Wind Song Ave
Goodyear, AZ 85338-5063
Phone
(602) 614-8601
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP8155 AZ Primary
Family Nurse Practitioner 363LF0000X AP8155 AZ

Addresses

Primary practice location

18168 W Wind Song Ave
Goodyear, AZ 85338-5063

Mailing address

18168 W Wind Song Ave
Goodyear, AZ 85338-5063
Phone (602) 614-8601

Other identifiers 1

IdentifierTypeStateIssuer
TAP8155MedicaidAZ

Other names 1

  • Jane-Frances Ndemanu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1255700506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18168 W WIND SONG AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385063",
            "telephone_number": "602-614-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18168 W WIND SONG AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385063",
            "telephone_number": "602-614-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEMANU",
        "first_name": "JANE-FRANCES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP8155",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TAP8155",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE-FRANCES",
            "last_name": "NDEMANU",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.