Organization Active NPI

Proactive Healthcare

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1407754575
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PROACTIVE HEALTHCARE
Practice address
701 N 44TH St Ste 116
Phoenix, AZ 85008-6504
Phone
(602) 782-8376
Fax
(602) 610-8835
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Neil Patel, NPNPI 1376386508
Title
Owener
Phone
(602) 782-8376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

701 N 44TH St Ste 116
Phoenix, AZ 85008-6504

Mailing address

701 N 44TH St Ste 116
Phoenix, AZ 85008-6504
Phone (602) 782-8376

National Provider Directory

National Provider Directory

Locations

701 N 44th St
Ste 116
Phoenix, AZ 85008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1407754575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 44TH ST STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086504",
            "telephone_number": "602-782-8376",
            "fax_number": "602-610-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 44TH ST STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086504",
            "telephone_number": "602-782-8376",
            "fax_number": "602-610-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "602-782-8376",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.