Active NPI
Tina M Stoneking, ARNP
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1477877009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP7529
- Practice address
- 2510 W Dunlap Ave
Suite 290
Phoenix, AZ 85021-2737 - Phone
- (602) 789-0344
- Fax
- (602) 789-8389
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP7529 | AZ | Primary |
Addresses
Primary practice location
2510 W Dunlap Ave
Suite 290
Phoenix, AZ 85021-2737
Mailing address
2510 W Dunlap Ave
Suite 290
Phoenix, AZ 85021-2737
Phone (602) 789-0344
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7529 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Ahir Med, P.C. | Past | Accepting new patients | |
| Kansas Long Term Care Physicians, LLC | Past | Accepting new patients | |
| Via Christi Immediate Care, Mother Mary Anne Inc. | Past | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Clinic/Center
- Scottsdale, AZ
- NPI 1912631755
-
- Hospitalist Physician
- Wichita, KS
- NPI 1316973860
-
- Clinic/Center
- Wichita, KS
- NPI 1477692051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1477877009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 W DUNLAP AVE",
"address_2": "SUITE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212737",
"telephone_number": "602-789-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 W DUNLAP AVE",
"address_2": "SUITE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212737",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONEKING",
"first_name": "TINA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP7529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.