Individual provider Active NPI

Allyson Duda, NP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1265028914
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226536 Issued in AZ
Practice address
3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone
(928) 772-2582
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 226536 AZ Primary

Addresses

Primary practice location

3251 N Windsong Dr
Prescott Valley, AZ 86314-1222

Mailing address

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 777-9600

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
I20210301002166 AZ Practitioner - Nurse Practitioner 7315353240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

4375 E Irma LN
Phoenix, AZ 85050-4312
Phone (480) 890-5800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 5, 2022 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 5, 2022 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

4375 E Irma Ln
Phoenix, AZ 85050
Phone (480) 890-5800

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1265028914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-777-9600",
            "fax_number": "602-218-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "ALLYSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.