Individual provider Active NPI

Jesmina Faja, FNP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1386373801
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F06220167 Issued in AZ
Practice address
9250 N 3Rd St
Phoenix, AZ 85020-2437
Phone
(602) 861-1168
NPI assigned
Jun 9, 2022
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X F06220167 AZ
Nurse Practitioner 363L00000X F06220167 AZ
Gerontology Nurse Practitioner 363LG0600X F06220167 AZ
Primary Care Nurse Practitioner 363LP2300X F06220167 AZ
Acute Care Nurse Practitioner 363LA2100X F06220167 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St
Phoenix, AZ 85020-2437

Mailing address

9250 N 3Rd St Ste 2000
Phoenix, AZ 85020-2403
Phone (623) 261-6577

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
I20220829001230 AZ Practitioner - Nurse Practitioner 4880078609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 2030
Phoenix, AZ 85020-2407
Phone (602) 786-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06220167AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Sep 11, 2022 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 11, 2022 Accepting new patients

Locations

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

6220 W Bell Rd
Ste 120
Glendale, AZ 85308
Phone (480) 587-6614

10230 W Happy Valley Pkwy
Ste 200
Peoria, AZ 85383
Phone (480) 882-7465

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

9250 N 3rd St
Ste 2030
Phoenix, AZ 85020
Phone (602) 264-7273

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: jfaja30483@direct.honorhealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1386373801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 2000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202403",
            "telephone_number": "623-261-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-861-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJA",
        "first_name": "JESMINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "F06220167",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "F06220167",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "F06220167",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "F06220167",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "F06220167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.