Individual provider Active NPI

Roxanna Donan, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1285106872
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220204 Issued in AZ
Practice address
2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Phone
(480) 718-0568
Fax
(480) 307-6676
NPI assigned
Dec 20, 2018
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220204 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 220204 AZ

Addresses

Primary practice location

2075 S Cottonwood Dr
Tempe, AZ 85282-3040

Mailing address

2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Phone (480) 718-0568

Other practice location 1

7301 N 16th St Ste 202
Phoenix, AZ 85020-5265
Phone (602) 775-3234

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
I20190320003133 AZ Practitioner - Nurse Practitioner 3476893819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MH 7 LLCGroup PAC ID 3870753940, 7 clinicians

Practice addresses (Care Compare)

7301 N 16TH St
Suite 202
Phoenix, AZ 85020-5265
Phone (602) 753-2345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
220204AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MH 7 LLC CurrentSince Oct 1, 2024 Accepting new patients
Integrated Premier Group Ipg PastSince Nov 10, 2019 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1285106872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-718-0568",
            "fax_number": "480-307-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-718-0568",
            "fax_number": "480-307-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 N 16th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205265",
            "country_code": "US",
            "telephone_number": "602-775-3234",
            "fax_number": "602-419-3062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAN",
        "first_name": "ROXANNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220204",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "220204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.