Active NPI
Christine Lopez, RN
- Home Health Registered Nurse
- Peoria, AZ
National Provider Identifier
1366164147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 228501
- Practice address
- 9242 W Union Hills Dr Ste 102
Peoria, AZ 85382-8219 - Phone
- (602) 884-6007
- Fax
- (844) 888-1174
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 228501 | AZ | Primary |
Addresses
Primary practice location
9242 W Union Hills Dr Ste 102
Peoria, AZ 85382-8219
Mailing address
9686 W Oberlin Way
Peoria, AZ 85383-8750
Phone (708) 714-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228501 | AZ | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Home Health LLC | Home Health | Current | Accepting new patients |
Locations
9242 W Union Hills Dr
Ste 102
Peoria, AZ 85382
Phone (602) 492-4427
Organizations & group practices 1
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.
-
- Home Health Agency
- Peoria, AZ
- NPI 1154038727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1366164147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9686 W OBERLIN WAY",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853838750",
"telephone_number": "708-714-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9242 W UNION HILLS DR STE 102",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828219",
"telephone_number": "602-884-6007",
"fax_number": "844-888-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CHRISTINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AZ",
"license": "228501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.