Individual provider Active NPI

Janet Moran

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1356080758
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
275591 Issued in AZ
Practice address
501 W Van Buren St Ste T
Avondale, AZ 85323-1307
Phone
(623) 932-9905
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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 275591 AZ Primary

Addresses

Primary practice location

501 W Van Buren St Ste T
Avondale, AZ 85323-1307

Mailing address

10875 W Alvarado Rd
Avondale, AZ 85392-5479
Phone (623) 882-6238

Other names 1

  • Miss Janet Tamayo Other name

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
I20220715001815 AZ Practitioner - Nurse Practitioner 4587045950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275591AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westview Family Medicine, P.C. CurrentSince Jun 27, 2022 Accepting new patients
Sanjivan PLLC PastSince Mar 3, 2024 Accepting new patients

Locations

13065 W McDowell Rd
#105
Avondale, AZ 85392

13065 W McDowell Rd
Ste A105
Avondale, AZ 85392
Phone (623) 536-6788

Organizations & group practices 2

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1356080758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 W ALVARADO RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925479",
            "telephone_number": "623-882-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231307",
            "telephone_number": "623-932-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "275591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "TAMAYO",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.