Individual provider Active NPI

Sonia Ivonne Villanueva, NP-C

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1366006199
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222004 Issued in AZ
Practice address
449 E Silver Reef Rd
Casa Grande, AZ 85122-1521
Phone
(520) 450-9155
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 222004 AZ Primary

Addresses

Primary practice location

449 E Silver Reef Rd
Casa Grande, AZ 85122-1521

Mailing address

449 E Silver Reef Rd
Casa Grande, AZ 85122-1521
Phone (520) 450-9155

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
I20191107002620 AZ Practitioner - Nurse Practitioner 1951733229 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222004AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Senita Community Health Center CurrentSince Oct 1, 2024 Accepting new patients
Desert Senita Community Health Center CurrentSince Oct 1, 2024 Accepting new patients
Desert Senita Community Health Center Current Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Desert Senita Community Health Center PastSince Nov 26, 2023 Accepting new patients

Locations

410 N Malacate St
Ajo, AZ 85321
Phone (520) 387-5651

515 S Stanfield Rd
Bldg O
Stanfield, AZ 85172
Phone (520) 387-5651

Organizations & group practices 5

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1366006199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E SILVER REEF RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221521",
            "telephone_number": "520-450-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E SILVER REEF RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221521",
            "telephone_number": "520-450-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "SONIA",
        "middle_name": "IVONNE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.