Individual provider Active NPI

Annette A Atkinson-Meiklejohn, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1477818540
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP8544 Issued in AZ
Practice address
2632 E Thomas Rd Ste 101
Phoenix, AZ 85016-8220
Phone
(602) 957-2507
Fax
(602) 266-9025
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 143634 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8544 AZ Primary

Addresses

Primary practice location

2632 E Thomas Rd Ste 101
Phoenix, AZ 85016-8220

Mailing address

6702 Pleasant Valley Dr
Morrow, GA 30260-2564

Other identifiers 1

IdentifierTypeStateIssuer
132773MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180116002393 AZ Practitioner - Nurse Practitioner 2860751088 Reassigns benefits to 2 organizations
I20250109001868 NY Practitioner - Nurse Practitioner 2860751088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Association of Progressive Dominicans, IncGroup PAC ID 2264412816, 4 clinicians

Practice addresses (Care Compare)

3940 Broadway
FL 2
New York, NY 10032-1534
Phone (212) 781-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143634GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Association of Progressive Dominicans, Inc CurrentSince Nov 25, 2024 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Dec 9, 2017 Accepting new patients
Optimal Handup2Health Psychiatric/Mental Health CurrentSince Jul 31, 2023 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Mar 3, 2024 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Southwest Behavioral Health PastSince Mar 3, 2024 Accepting new patients
Acdp Past Accepting new patients

Locations

6915 E Main St
Ste 200
Mesa, AZ 85207

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

2632 E Thomas Rd
Ste 101
Phoenix, AZ 85016
Phone (602) 957-2507

3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331

2632 E Thomas Rd
Phoenix, AZ 85016
Phone (480) 493-6395

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

311 E 175th St
Bronx, NY 10457

3940 Broadway
Fl 2
New York, NY 10032
Phone (212) 781-5500

Interoperability endpoints

  • Direct secure messaging: annette.atkinsonmeiklejohnnp.p1@direct.lifewell.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1477818540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 PLEASANT VALLEY DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 E THOMAS RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168220",
            "telephone_number": "602-957-2507",
            "fax_number": "602-266-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON-MEIKLEJOHN",
        "first_name": "ANNETTE",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-02-28",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "143634",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132773",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.