Individual provider Active NPI

Huguette Kenabantu, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1316394646
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8598 Issued in AZ
Practice address
4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone
(602) 685-6000
Fax
(602) 275-1355
NPI assigned
May 17, 2016
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP8598 AZ
Family Nurse Practitioner 363LF0000X AP8598 AZ Primary

Addresses

Primary practice location

4909 E McDowell Rd
Phoenix, AZ 85008-4227

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

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
I20160624000943 AZ Practitioner - Nurse Practitioner 5496046229 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terros, Inc.Group PAC ID 8224077045, 26 clinicians

Practice addresses (Care Compare)

4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone (602) 685-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8598AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Multi-Specialty CurrentSince Oct 1, 2016 Accepting new patients
District Medical Group, Inc Multi-Specialty Current Accepting new patients
Terros Inc CurrentSince Jan 3, 2017 Accepting new patients
Signify Health, LLC Multi-Specialty CurrentSince May 30, 2023 Accepting new patients
Corner Health Medical Group P a Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients
Terros Inc CurrentSince Jan 3, 2017 Accepting new patients
Terros, Inc. Multi-Specialty Current Accepting new patients
Healing Hands Integrative Care Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients
Terros, Inc. Past Accepting new patients
District Medical Group, Inc Multi-Specialty Past Accepting new patients
Northwest Rheumatology PLLC Multi-Specialty Past Accepting new patients
Lazul Health PLLC Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

265 N Federal St
Ste 131
Chandler, AZ 85226
Phone (480) 520-9297

13 N San Francisco St
Ste 6
Flagstaff, AZ 86001
Phone (928) 405-0173

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

1642 S Priest Dr
Bldg 6
Tempe, AZ 85281
Phone (480) 929-5100

173 N Haskell Ave
Willcox, AZ 85643
Phone (480) 530-6170

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: huguette.kalongonp.p1@direct.terros.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1316394646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084227",
            "telephone_number": "602-685-6000",
            "fax_number": "602-275-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENABANTU",
        "first_name": "HUGUETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8598",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.