Individual provider Active NPI

Fatmata Jalloh, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1447077201
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
313792 Issued in AZ
Practice address
18589 N 59TH Ave Ste 101
Glendale, AZ 85308-1258
Phone
(602) 547-2600
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 313792 AZ Primary

Addresses

Primary practice location

18589 N 59TH Ave Ste 101
Glendale, AZ 85308-1258

Mailing address

8750 W Missouri Ave
Glendale, AZ 85305-2924
Phone (602) 748-5197

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
I20241016002501 AZ Practitioner - Nurse Practitioner 4183156045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-2700
Phone (623) 385-7299

17688 W Elliot Rd
Goodyear, AZ 85338-9009
Phone (623) 889-6823

18589 N 59TH Ave
Suite 101
Glendale, AZ 85308-1258
Phone (602) 547-2600

20470 N Lake Pleasant Rd
Suite 102
Peoria, AZ 85382-9708
Phone (623) 825-4600

5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189

5920 W McDowell Rd
Phoenix, AZ 85035-4853
Phone (623) 245-0440

8101 N 19TH Ave
Suite a
Phoenix, AZ 85021-5161
Phone (602) 845-4505

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313792AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Sep 17, 2024 Accepting new patients
Nextcare Arizona LLC CurrentSince Sep 17, 2024 Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients

Locations (25 of 46)

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

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

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

4815 E Carefree Hwy
Ste 124
Cave Creek, AZ 85331
Phone (480) 626-0525

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

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

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

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

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

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

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

18773 S Nogales Hwy
Ste 125
Green Valley, AZ 85614
Phone (520) 771-0316

7650 S 59th Ave
Ste A105
Laveen, AZ 85339
Phone (602) 476-8888

13840 W Camelback Rd
Ste 10
Litchfield Park, AZ 85340
Phone (602) 853-4057

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

20236 N John Wayne Pkwy
Ste 100
Maricopa, AZ 85139
Phone (520) 518-7510

9241 E Cadence Pkwy
Ste 101
Mesa, AZ 85212
Phone (480) 626-7203

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

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

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

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

3850 W Greenway Rd
Ste 150
Phoenix, AZ 85053
Phone (480) 508-5777

Interoperability endpoints

  • Direct secure messaging: fatmata.jallohfnp.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1447077201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 W MISSOURI AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052924",
            "telephone_number": "602-748-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18589 N 59TH AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081258",
            "telephone_number": "602-547-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOH",
        "first_name": "FATMATA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.