Individual provider Active NPI

Christian M Azode, APRN-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1306492046
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
230893 Issued in AZ
Practice address
1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone
(602) 251-8181
NPI assigned
Aug 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 175450 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 230893 AZ Primary

Addresses

Primary practice location

1800 E Van Buren St
Phoenix, AZ 85006-3742

Mailing address

1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone (602) 251-8181

Other names 1

  • Dr. Chris Maduabuchi Azode Other name

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
I20200203001686 AZ Practitioner - Nurse Practitioner 6103252580 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5062 N 19TH Ave
Suite 102
Phoenix, AZ 85015-3225
Phone (773) 319-6420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
175450AZMDPsychiatric/Mental Health Registered Nurse
230893AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Legacy Healthcare Inc CurrentSince May 13, 2024 Accepting new patients
NGC Integrated Healthcare CurrentSince Jan 5, 2021 Accepting new patients
Freedom Rehabilitation Center LLC CurrentSince Jan 12, 2025 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Dec 27, 2019 Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

450 W Adamsville Rd
Florence, AZ 85132
Phone (520) 296-7169

3440 W Cactus Rd
Ste 1
Phoenix, AZ 85029
Phone (623) 688-3364

14040 N Cave Creek Rd
Ste 310
Phoenix, AZ 85022
Phone (602) 675-2577

3440 W Cactus Rd
Ste 5
Phoenix, AZ 85029

3440 W Cactus Rd
Phoenix, AZ 85029
Phone (602) 249-3380

5062 N 19th Ave
Ste 102
Phoenix, AZ 85015
Phone (623) 939-6567

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1306492046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZODE",
        "first_name": "CHRISTIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "APRN-PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "175450",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "230893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "AZODE",
            "middle_name": "MADUABUCHI",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.