Individual provider Active NPI

Alisa Vadasz

  • Primary Care Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1427486596
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP5077 Issued in AZ
Practice address
2187 N Vickey St Ste 2
Flagstaff, AZ 86004-6121
Phone
(928) 714-5322
Fax
(928) 526-9503
NPI assigned
Oct 28, 2013
Last updated
Oct 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP5077 AZ Primary

Addresses

Primary practice location

2187 N Vickey St Ste 2
Flagstaff, AZ 86004-6121

Mailing address

1834 N Edgewood St
Flagstaff, AZ 86004-8711
Phone (928) 522-0543

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
I20131219001623 AZ Practitioner - Nurse Practitioner 0941437966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5077AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Apr 15, 2016 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients

Locations (25 of 36)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

474 N US Highway 89
Chino Valley, AZ 86323
Phone (520) 636-4355

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (480) 931-3156

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

5410 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 530-6189

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 353-2210

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

Organizations & group practices 2

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1427486596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 N EDGEWOOD ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860048711",
            "telephone_number": "928-522-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 N VICKEY ST STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046121",
            "telephone_number": "928-714-5322",
            "fax_number": "928-526-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADASZ",
        "first_name": "ALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.