Individual provider Active NPI

Andrea Canonigo Collingwood, DO

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1285329409
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
012578 Issued in AZ
Practice address
1355 N Scottsdale Rd Ste 170
Scottsdale, AZ 85257-3590
Phone
(602) 562-3013
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

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
Credentials
Doctor of Osteopathy

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 012578 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

1355 N Scottsdale Rd Ste 170
Scottsdale, AZ 85257-3590

Mailing address

1355 N Scottsdale Rd Ste 170
Scottsdale, AZ 85257-3590
Phone (602) 562-3013

Other names 1

NPPES NPI Registry
  • Dr. Andrea Canonigo Carpenter Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1285329409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N SCOTTSDALE RD STE 170",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573590",
            "telephone_number": "602-562-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N SCOTTSDALE RD STE 170",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573590",
            "telephone_number": "602-562-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGWOOD",
        "first_name": "ANDREA",
        "middle_name": "CANONIGO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "012578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CARPENTER",
            "middle_name": "CANONIGO",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.