Individual provider Active NPI

Amber Nassif, FNP

  • Family Nurse Practitioner
  • Anthem, AZ
National Provider Identifier
1518598671
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11135 Issued in AZ
Practice address
43257 N Heavenly Way
Anthem, AZ 85086-8112
Phone
(602) 430-5159
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11135 AZ Primary

Addresses

Primary practice location

43257 N Heavenly Way
Anthem, AZ 85086-8112

Mailing address

43257 N Heavenly Way
Anthem, AZ 85086-8112

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
I20200415000308 AZ Practitioner - Nurse Practitioner 1759719925 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ternion Physician Group, PLLC CurrentSince Oct 20, 2023 Accepting new patients
Cactus Serenity Behavioral Health Services LLC CurrentSince Apr 20, 2025 Accepting new patients
Cactus Serenity Behavioral Health Services LLC Family CurrentSince Mar 31, 2024 Accepting new patients
Senior Doc Arizona PC CurrentSince Oct 18, 2023 Accepting new patients

Locations

3515 W Union Hills Dr
Ste 114B
Glendale, AZ 85308
Phone (602) 612-3124

4704 W Diana Ave
Glendale, AZ 85302
Phone (623) 247-3949

14631 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 715-2568

42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

Interoperability endpoints

  • Direct secure messaging: amber.nassif.p1@direct.alegiscare.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1518598671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43257 N HEAVENLY WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850868112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43257 N HEAVENLY WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850868112",
            "telephone_number": "602-430-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.