Individual provider Active NPI

Julia B Idemudia, NP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1356826341
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11456 Issued in AZ
Practice address
7448 W Glendale Ave # C-140
Glendale, AZ 85303-2575
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 AP11456 AZ Primary

Addresses

Primary practice location

7448 W Glendale Ave # C-140
Glendale, AZ 85303-2575

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

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
I20190104000708 AZ Practitioner - Nurse Practitioner 4486990934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

7448 W Glendale Ave
Suite C 140
Glendale, AZ 85303-2575
Phone (480) 677-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11456AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Current Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Jun 18, 2019 Accepting new patients
Good Health Medical, PLLC CurrentSince Jun 16, 2025 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Jun 16, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Past Accepting new patients
Centerwell Senior Primary Care Az PC Past Accepting new patients
Livn, P.C. Past Accepting new patients
Good Health Medical, PLLC Past Accepting new patients

Locations

1575 N Dysart Rd
Avondale, AZ 85392
Phone (623) 687-9883

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

6611 W Bell Rd
Glendale, AZ 85308
Phone (480) 347-2400

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

63 N Greenfield Rd
Ste 108
Mesa, AZ 85205
Phone (602) 671-2826

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

702 W Camelback Rd
Ste 10
Phoenix, AZ 85013
Phone (480) 808-9215

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

14813 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 834-5435

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 9

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1356826341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 W GLENDALE AVE # C-140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032575",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEMUDIA",
        "first_name": "JULIA",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.