Anthem Total Health

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ANTHEM TOTAL HEALTH

Practice address

41818 N Venture Dr
Suite 150
Anthem, AZ 85086-3188

Phone

(623) 428-1204

Fax

(520) 306-4877

NPI assigned

Mar 18, 2016

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veroncia J Fox, FNP

Title

NP/ Co-Owner

Phone

(602) 705-5117

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1366803306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR",
            "address_2": "SUITE 150",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863188",
            "telephone_number": "623-428-1204",
            "fax_number": "520-306-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR",
            "address_2": "SUITE 150",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863188",
            "telephone_number": "623-428-1204",
            "fax_number": "520-306-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM TOTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "VERONCIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NP/ CO-OWNER",
        "authorized_official_telephone_number": "602-705-5117",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aprtc Anthem LLC
• Arizona CVS Stores LLC (CVS Pharmacy 09340)

• Family Nurse Practitioner in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.