Organization Active NPI

Ark Covernant

Doing business as Telehealth - Psychiatric Nurse Practitioner

  • Psychiatric/Mental Health Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1437862695
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ARK COVERNANT
Doing business as
Telehealth - Psychiatric Nurse Practitioner
Practice address
20987 N John Wayne Pkwy
Maricopa, AZ 85139-2926
Phone
(480) 667-8101
NPI assigned
Jan 3, 2023
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Ngwi Rita Etiendem, DNP, PMHNP-BCNPI 1962766360
Title
Nurse Practitioner
Phone
(480) 667-8101

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

20987 N John Wayne Pkwy
Maricopa, AZ 85139-2926

Mailing address

44202 W Granite Dr
Maricopa, AZ 85139-8868
Phone (480) 667-8101

Other practice location 1

44202 W Granite Dr
Maricopa, AZ 85139-8868
Phone (480) 667-8101

Other identifiers 1

IdentifierTypeStateIssuer
873312201MedicaidAZ

Other names 1

  • Telehealth - Psychiatric Nurse Practitioner Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.arkcovernantllc.org Direct
Other URL https://www.arkcovernantllc.org Direct

National Provider Directory

National Provider Directory

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": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1437862695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44202 W GRANITE DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398868",
            "telephone_number": "480-667-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20987 N JOHN WAYNE PKWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392926",
            "telephone_number": "480-667-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44202 W Granite Dr",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851398868",
            "country_code": "US",
            "telephone_number": "480-667-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARK COVERNANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "ETIENDEM",
        "authorized_official_first_name": "NGWI",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-667-8101",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873312201",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.arkcovernantllc.org",
            "affiliation": "N",
            "endpointDescription": "https://www.arkcovernantllc.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "arkcovernant@gmail.com",
            "address_1": "45702 W Starlight Dr",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851396656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.arkcovernantllc.org",
            "affiliation": "N",
            "endpointDescription": "https://www.arkcovernantllc.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45702 W Starlight Dr",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851396656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Telehealth - Psychiatric Nurse Practitioner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

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