Individual provider Active NPI

Jodi E Bond, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1346894714
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229836 Issued in AZ
Practice address
20660 N 40TH St Unit 2114
Phoenix, AZ 85050-7319
Phone
(317) 797-4518
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 229836 AZ Primary

Addresses

Primary practice location

20660 N 40TH St Unit 2114
Phoenix, AZ 85050-7319

Mailing address

20660 N 40TH St Unit 2114
Phoenix, AZ 85050-7319
Phone (317) 797-4518

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
I20210324000288 AZ Practitioner - Nurse Practitioner 1153738992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livwell Health LLCGroup PAC ID 1052738440, 9 clinicians

Practice addresses (Care Compare)

8541 E Anderson Dr
Suite 104
Scottsdale, AZ 85255-5430
Phone (602) 688-2248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Care Chiropractic & Acupuncture CurrentSince Jun 1, 2022 Accepting new patients
Livwell Health LLC CurrentSince Feb 1, 2023 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Dec 13, 2023 Accepting new patients

Locations

3706 Highway 95
Ste 101
Bullhead City, AZ 86442
Phone (928) 201-9286

8541 E Anderson Dr
Ste 104
Scottsdale, AZ 85255
Phone (323) 351-4233

18261 N Pima Rd
Ste 115
Scottsdale, AZ 85255
Phone (602) 493-2228

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1346894714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20660 N 40TH ST UNIT 2114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507319",
            "telephone_number": "317-797-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20660 N 40TH ST UNIT 2114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507319",
            "telephone_number": "317-797-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JODI",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "229836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.