Individual provider Active NPI

April Renee Fatina, FNP

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1437819943
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
267723 Issued in AZ
Practice address
17248 W Molly LN
Surprise, AZ 85387-2154
Phone
(623) 299-5710
NPI assigned
Dec 23, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 267723 AZ Primary

Addresses

Primary practice location

17248 W Molly LN
Surprise, AZ 85387-2154

Mailing address

17248 W Molly LN
Surprise, AZ 85387-2154
Phone (623) 299-5710

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
I20221018000871 AZ Practitioner - Nurse Practitioner 4284000167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267723AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Adelante Healthcare, Inc Single Specialty CurrentSince Nov 1, 2022 Accepting new patients

Locations

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 618-0002

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15351 W Bell Rd
Surprise, AZ 85374

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1437819943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17248 W MOLLY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853872154",
            "telephone_number": "623-299-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17248 W MOLLY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853872154",
            "telephone_number": "623-299-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATINA",
        "first_name": "APRIL",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.