Individual provider Active NPI

Janice Enloe, AGPCNP

  • Adult Health Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1366913923
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
219360 Issued in AZ
Practice address
2187 N Vickey St
Flagstaff, AZ 86004-6121
Phone
(928) 527-1899
NPI assigned
Dec 7, 2018
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 219360 AZ Primary

Addresses

Primary practice location

2187 N Vickey St
Flagstaff, AZ 86004-6121

Mailing address

715 N Beaver St
Ste a
Flagstaff, AZ 86001-3141
Phone (928) 779-5707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance Center Inc Current Accepting new patients

Locations

2187 N Vickey St
Flagstaff, AZ 86004
Phone (928) 527-1899

2695 E Industrial Dr
Flagstaff, AZ 86004
Phone (928) 527-1899

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1366913923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BEAVER ST",
            "address_2": "STE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013141",
            "telephone_number": "928-779-5707",
            "fax_number": "928-779-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 N VICKEY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046121",
            "telephone_number": "928-527-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "JANICE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "219360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.