Individual provider Active NPI

Nalini Thangaraju

  • Gerontology Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1326645250
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
246378 Issued in AZ
Practice address
4426 E Yellowstone PL
Chandler, AZ 85249-0512
Phone
(480) 307-0459
NPI assigned
Oct 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 246378 AZ
Gerontology Nurse Practitioner 363LG0600X 246378 AZ Primary

Addresses

Primary practice location

4426 E Yellowstone PL
Chandler, AZ 85249-0512

Mailing address

4426 E Yellowstone PL
Chandler, AZ 85249-0512
Phone (480) 307-0459

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
I20220607001151 AZ Practitioner - Nurse Practitioner 8628456480 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246378AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare Medical Services of Az, PC CurrentSince Mar 2, 2025 Accepting new patients
Pophealthcare Medical Services of Az, PC CurrentSince Mar 2, 2025 Accepting new patients
Spine & Sports Rehabilitation Institute PastSince Oct 1, 2013 Accepting new patients

Locations

2141 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 237-5098

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: nalini.thangaraju.1@29290.direct.athenahealth.com

Organizations & group practices 4

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": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1326645250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 E YELLOWSTONE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852490512",
            "telephone_number": "480-307-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 E YELLOWSTONE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852490512",
            "telephone_number": "480-307-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGARAJU",
        "first_name": "NALINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "246378",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "246378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.