Mindy's Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MINDY'S MEDICINE

Practice address

19420 N 59TH Ave Ste A201
Glendale, AZ 85308-6892

Phone

(602) 332-1519

Fax

(623) 321-6589

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindy Magoon, FNP-CNPI 1023798642

Title

FNP

Phone

(602) 332-1519

Specialties & licenses 1

Addresses

Locations

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.

• Mindy Rose Magoon

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1023798642
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1447023767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 W KEYSER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832914",
            "telephone_number": "602-332-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE A201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086892",
            "telephone_number": "602-332-1519",
            "fax_number": "623-321-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY'S MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MAGOON",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "602-332-1519",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.