Individual provider Active NPI

Andreas Johanes Thude, FNP

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1336684075
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9684 Issued in AZ
Practice address
26700 S US Highway 85
Buckeye, AZ 85326-5024
Phone
(623) 386-6160
NPI assigned
Jan 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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 AP9684 AZ Primary

Addresses

Primary practice location

26700 S US Highway 85
Buckeye, AZ 85326-5024

Mailing address

2950 N Clanton St
Buckeye, AZ 85396-7703
Phone (623) 201-9930

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
I20240119000645 AZ Practitioner - Nurse Practitioner 5395197909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082

1507 N Litchfield Rd
Suite 200
Goodyear, AZ 85395-1201
Phone (623) 215-0040

24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-7373

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince Nov 6, 2023 Accepting new patients
Honorhealth Urgent Care, LLC Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

Interoperability endpoints

  • Direct secure messaging: athude537508@direct.honorhealth.com

Organizations & group practices 3

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1336684075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N CLANTON ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967703",
            "telephone_number": "623-201-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 S US HIGHWAY 85",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265024",
            "telephone_number": "623-386-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUDE",
        "first_name": "ANDREAS",
        "middle_name": "JOHANES",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.