Individual provider Active NPI

Mariah Lopez, REGISTERED NURSE

  • Registered Nurse
  • Glendale, AZ
National Provider Identifier
1447149646
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
354960 Issued in AZ
Practice address
7012 N 56TH Ave
Glendale, AZ 85301-2516
Phone
(602) 877-3931
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 354960 AZ Primary

Addresses

Primary practice location

7012 N 56TH Ave
Glendale, AZ 85301-2516

Mailing address

14173 N 136TH LN
Surprise, AZ 85379-8458
Phone (360) 451-9807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
354960AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Care Services LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

7012 N 56th Ave
Glendale, AZ 85301
Phone (480) 549-4077

Organizations & group practices 1

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1447149646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14173 N 136TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798458",
            "telephone_number": "360-451-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 N 56TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012516",
            "telephone_number": "602-877-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIAH",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "354960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.