Dyanna Ah Quin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17333 Issued in AZ

Practice address

106 Medicine Way
Peridot, AZ 85542

Phone

(928) 475-1500

Fax

(928) 475-1525

NPI assigned

Mar 28, 2017

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. D. Leolani Ah Quin Other name

Medicare fee-for-service enrollment

Enrolled in AZ, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, HI

  Medicare reassignment Care Compare group NPD
• In Focus Counseling LLC

  • Clinical Social Worker
  • Chandler, AZ
  • NPI 1124715750

  Mental Health

  NPD (past) Authorized official
• Maoli Ola Integrated Care, LLC

  • Counselor
  • Chandler, AZ
  • NPI 1336844422

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1346772548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 0",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "85550",
            "telephone_number": "928-475-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEDICINE WAY",
            "city": "PERIDOT",
            "state": "AZ",
            "postal_code": "85542",
            "telephone_number": "928-475-1500",
            "fax_number": "928-475-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AH QUIN",
        "first_name": "DYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "17333",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "AH QUIN",
            "middle_name": "LEOLANI",
            "prefix": "DR.",
            "credential": "MSW, DBH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manuel Jaymenn Abeyta, FNP-BC
• Liliane Abongwa, PHARMD., MBA
• Jade Lara Abudia, PHARM.D.
• Fabrice Afanyu-Lorater, RPH.
• Akdhc, LLC
• Julius Asofar Anumbosi
• Leloole Sole Barika, F.N.P.
• Spencer Bigler, FNP
• Christopher Blair, PHARMD

• Clinical Social Worker in Peridot, AZ
• Providers in Peridot, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.