Individual provider Active NPI

Whoopi Tenneh Massaquoi

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1518514413
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TP8827 Issued in AZ
Practice address
4700 N 51St Ave Ste 4
Phoenix, AZ 85031-1295
Phone
(623) 846-7575
Fax
(623) 836-3778
NPI assigned
Aug 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TP8827 AZ Primary

Addresses

Primary practice location

4700 N 51St Ave Ste 4
Phoenix, AZ 85031-1295

Mailing address

4700 N 51St Ave Ste 4
Phoenix, AZ 85031-1295
Phone (623) 846-7575

Other identifiers 1

IdentifierTypeStateIssuer
TP8827OtherAZAAPA

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TP8827AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maryvale Pediatric Clinic Current Accepting new patients
North Scottsdale Pediatric Associates Past Accepting new patients

Locations

4700 N 51st Ave
Ste 4
Phoenix, AZ 85031
Phone (623) 846-7575

Interoperability endpoints

  • Direct secure messaging: wmassaquoi@mvpkidscare.opdirect.net

Organizations & group practices 2

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": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1518514413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311295",
            "telephone_number": "623-846-7575",
            "fax_number": "623-836-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311295",
            "telephone_number": "623-846-7575",
            "fax_number": "623-836-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAQUOI",
        "first_name": "WHOOPI",
        "middle_name": "TENNEH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "TP8827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAPA",
            "identifier": "TP8827",
            "state": "AZ"
        }
    ],
    "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 Dec 28, 2021; 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.