Active NPI
Amory Godwin Caringal Grijaldo, AGACNP-BC
- Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP7637
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5499 - Phone
- (480) 301-8000
- NPI assigned
- Feb 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 73268 | NM | |
| Acute Care Nurse Practitioner | 363LA2100X | AP7637 | AZ | |
| Nurse Practitioner | 363L00000X | AP7637 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Mailing address
12451 W Gentle Rain Rd
Peoria, AZ 85383-7198
Phone (623) 256-6994
Other practice location 1
337 E Coronado Rd
Suite 201
Phoenix, AZ 85004-1580
Phone (602) 252-8081
Other practice location 2
1705 E Hanna Rd
Eloy, AZ 85131-9612
Phone (520) 464-3051
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agrijaldo825324@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73268 | NM | MD | Nurse Practitioner |
| AP7637 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Arrowhead Medical and Aesthetic Center LLC | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Southwest Kidney Institute Scottsdale LLC | Current | Accepting new patients | |
| Kidney Guardian | Past | Accepting new patients |
Locations
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888
1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880
337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111
2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- agrijaldo825324@ehrdirect.mayoclinicmsg.org
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Glendale, AZ
- NPI 1780881375
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023828431
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1144764432
-
- Nephrology Physician
- Phoenix, AZ
- NPI 1902231012
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Nephrology Physician
- Tempe, AZ
- NPI 1013475326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1487045795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12451 W GENTLE RAIN RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853837198",
"telephone_number": "623-256-6994",
"fax_number": "623-256-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595499",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "337 E Coronado Rd",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850041580",
"country_code": "US",
"telephone_number": "602-252-8081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1705 E Hanna Rd",
"address_purpose": "LOCATION",
"city": "Eloy",
"state": "AZ",
"postal_code": "851319612",
"country_code": "US",
"telephone_number": "520-464-3051",
"fax_number": "520-464-3157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIJALDO",
"first_name": "AMORY GODWIN",
"middle_name": "CARINGAL",
"name_prefix": "Mr.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-09",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "73268",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP7637",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP7637",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agrijaldo825324@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595499",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.