Individual provider Active NPI

Nina Zabalza, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1467999045
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10129 Issued in AZ
Practice address
9900 S Rural Rd
Tempe, AZ 85284-4116
Phone
(000) 000-0000
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10129 AZ Primary
Registered Nurse 163W00000X 167375 AZ

Addresses

Primary practice location

9900 S Rural Rd
Tempe, AZ 85284-4116

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other identifiers 1

IdentifierTypeStateIssuer
AP10129MedicaidAZ

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
I20170614002649 AZ Practitioner - Nurse Practitioner 2163790114 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167375AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tec Emergency Physicians of Arizona, LLC CurrentSince May 1, 2022 Accepting new patients
VMD Primary Providers of Arizona Nurse Practitioner CurrentSince Dec 1, 2020 Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Jan 8, 2020 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

1935 N Stapley Dr
Mesa, AZ 85203
Phone (480) 339-6178

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

8469 E McDonald Dr
Scottsdale, AZ 85250
Phone (480) 483-1045

9900 S Rural Rd
Tempe, AZ 85284
Phone (480) 783-6233

1825 E Warner Rd
Tempe, AZ 85284
Phone (480) 820-9984

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

10405 N La Canada Dr
Tucson, AZ 85737
Phone (520) 237-5934

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 4

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1467999045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844116",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALZA",
        "first_name": "NINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10129",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "167375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP10129",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.