Individual provider Active NPI

Jonne Amorette Housh, MSN, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1285847210
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
#F0407039 Issued in AZ
Practice address
12010 S Warner Elliot Loop
Suite 1a
Phoenix, AZ 85044
Phone
(480) 961-2366
Fax
(480) 961-2367
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 #F0407039 AZ Primary

Addresses

Primary practice location

12010 S Warner Elliot Loop
Suite 1a
Phoenix, AZ 85044

Mailing address

4545 E Chandler Blvd Ste 206
Phoenix, AZ 85048-7645
Phone (480) 961-5956

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
I20071002000556 AZ Practitioner - Nurse Practitioner 8224123559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
#F0407039AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kevin Chan PC CurrentSince Apr 1, 2016 Accepting new patients

Locations

4530 E Ray Rd
Ste 172
Phoenix, AZ 85044
Phone (480) 759-9191

12010 S Warner Elliot Loop
Ste 1
Phoenix, AZ 85044
Phone (480) 961-2366

Organizations & group practices 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1285847210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487645",
            "telephone_number": "480-961-5956",
            "fax_number": "480-598-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 S WARNER ELLIOT LOOP",
            "address_2": "SUITE 1A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "480-961-2366",
            "fax_number": "480-961-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSH",
        "first_name": "JONNE",
        "middle_name": "AMORETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "#F0407039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.