Individual provider Active NPI

Juan Jose Lopez, RN, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1326477134
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7356 Issued in AZ
Practice address
6223 N 21St Dr
Phoenix, AZ 85015-1902
Phone
(623) 419-2799
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN172210 AZ
Family Nurse Practitioner 363LF0000X AP7356 AZ Primary

Addresses

Primary practice location

6223 N 21St Dr
Phoenix, AZ 85015-1902

Mailing address

6223 N 21St Dr
Phoenix, AZ 85015-1902
Phone (623) 419-2799

Other identifiers 1

IdentifierTypeStateIssuer
004494MedicaidAZ

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
I20150514001163 AZ Practitioner - Nurse Practitioner 6305166398 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN172210AZMDRegistered Nurse
AP7356AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Medicine LLC Family CurrentSince May 1, 2019 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Apr 1, 2025 Accepting new patients
Progressive Pain Management Inc CurrentSince Apr 1, 2025 Accepting new patients
I Am Wellness Az LLC CurrentSince Apr 1, 2025 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Apr 1, 2025 Accepting new patients
Michael F Esber DPM PC CurrentSince Apr 1, 2025 Accepting new patients
American Family Medicine LLC CurrentSince May 1, 2019 Accepting new patients
Bmi423I CurrentSince Apr 1, 2025 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

5501 N 19th Ave
Ste 218
Phoenix, AZ 85015
Phone (602) 242-1221

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

9169 W Van Buren St
Tolleson, AZ 85353
Phone (602) 283-5732

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

Organizations & group practices 10

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1326477134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 N 21ST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151902",
            "telephone_number": "623-419-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 N 21ST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151902",
            "telephone_number": "623-419-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN172210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.