Individual provider Active NPI

Gloria Ahunna Anyaeji, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1265025332
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252274 Issued in AZ
Practice address
8311 W Canvasback LN
Tucson, AZ 85757-6826
Phone
(520) 331-7462
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 252274 AZ Primary

Addresses

Primary practice location

8311 W Canvasback LN
Tucson, AZ 85757-6826

Mailing address

8311 W Canvasback LN
Tucson, AZ 85757-6826
Phone (520) 331-7462

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
I20210729000778 AZ Practitioner - Nurse Practitioner 0547663478 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252274AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare, LLC CurrentSince Apr 28, 2022 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 433-4964

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1265025332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 W CANVASBACK LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857576826",
            "telephone_number": "520-331-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 W CANVASBACK LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857576826",
            "telephone_number": "520-331-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAEJI",
        "first_name": "GLORIA",
        "middle_name": "AHUNNA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "252274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.