Active NPI
Ava Alexander Anderson
- Child Mental Illness Respite Care
- Phoenix, AZ
National Provider Identifier
1265508535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 3796
- Practice address
- 6915 S 37TH Glen
Phoenix, AZ 85041-6175 - Phone
- (602) 276-1112
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 3796 | AZ | Primary |
Addresses
Primary practice location
6915 S 37TH Glen
Phoenix, AZ 85041-6175
Mailing address
6915 S 37TH Glen
Phoenix, AZ 85041-6175
Phone (602) 276-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 869604 | Other | AZ | AHCCCS ID NUMBER |
Other names 1
- Ms. Ava Anderson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3796 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1265508535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6915 S 37TH GLEN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416175",
"telephone_number": "602-276-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 S 37TH GLEN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416175",
"telephone_number": "602-276-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER ANDERSON",
"first_name": "AVA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "3796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID NUMBER",
"identifier": "869604",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AVA",
"last_name": "ANDERSON",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.