Individual provider Active NPI

Phyllis Waigwa, RN

  • Gerontology Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1386500684
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
295363 Issued in AZ
Practice address
15446 N Greenway Hayden Loop Unit 2019
Scottsdale, AZ 85260-3098
Phone
(781) 215-4596
NPI assigned
Dec 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 295363 AZ
Case Management Registered Nurse 163WC0400X 295363 AZ
Home Health Registered Nurse 163WH0200X 295363 AZ
Hospice Registered Nurse 163WH1000X 295363 AZ
Psychiatric/Mental Health Registered Nurse 163WP0808X 295363 AZ
Wound Care Registered Nurse 163WW0000X 295363 AZ
Gerontology Registered Nurse 163WG0600X 295363 AZ Primary

Addresses

Primary practice location

15446 N Greenway Hayden Loop Unit 2019
Scottsdale, AZ 85260-3098

Mailing address

15446 N Greenway Hayden Loop Unit 2019
Scottsdale, AZ 85260-3098
Phone (781) 215-4596

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

LicenseStateTypeSpecialty
295363AZMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vitala Healthcare, LLC CurrentSince Jan 4, 2026 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1386500684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 N GREENWAY HAYDEN LOOP UNIT 2019",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603098",
            "telephone_number": "781-215-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 N GREENWAY HAYDEN LOOP UNIT 2019",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603098",
            "telephone_number": "781-215-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIGWA",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "295363",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "295363",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "295363",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "AZ",
            "license": "295363",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "295363",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "295363",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "AZ",
            "license": "295363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.