Active NPI
Genesis of Peace Integrated Health
- Family Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1275214439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GENESIS OF PEACE INTEGRATED HEALTH
- Practice address
- 3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319 - Phone
- (480) 936-3995
- Fax
- (210) 761-3858
- NPI assigned
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Akosua Ankamah Mensah, DNP, FNP-C
- Title
- Owner/Nurse Practitioner
- Phone
- (480) 953-3995
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319
Mailing address
2278 E Aster Dr
Chandler, AZ 85286-2353
Phone (480) 953-3995
Other names 1
- Genesis of Peace PLLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2307598 | Genesis of Peace Integrated Health & Wellness LLC | Certificate of waiver | Jul 10, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1689062572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1275214439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2278 E ASTER DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862353",
"telephone_number": "480-953-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 S VAL VISTA DR STE A111",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977319",
"telephone_number": "480-936-3995",
"fax_number": "210-761-3858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS OF PEACE INTEGRATED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "MENSAH",
"authorized_official_first_name": "AKOSUA",
"authorized_official_middle_name": "ANKAMAH",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "480-953-3995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis of Peace PLLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Genesis of Peace PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.