Individual provider Active NPI

Patricia Jean Jalomo

  • Women's Health Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1538564778
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP7401 Issued in AZ
Practice address
14044 W Camelback Rd
Ste 118
Litchfield Park, AZ 85340-9481
Phone
(623) 547-2600
NPI assigned
Oct 30, 2014
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP7401 AZ Primary

Addresses

Primary practice location

14044 W Camelback Rd
Ste 118
Litchfield Park, AZ 85340-9481

Mailing address

14044 W Camelback Rd
Ste 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600

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
I20150225000227 AZ Practitioner - Nurse Practitioner 1658697321 Reassigns benefits to 2 organizations
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Medical Centers, LLC CurrentSince Feb 16, 2019 Accepting new patients
Arizona OB GYN Affiliates PC CurrentSince Mar 2, 2020 Accepting new patients
Southern Arizona Center for Pelvic Health Women's Health PastSince Jan 6, 2017 Accepting new patients
Ronald L. Price, M.D., P.C. Past Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. PastSince Aug 30, 2017 Accepting new patients
Southwest Kidney Institute, PLC Past Accepting new patients
Arizona OB/GYN Affiliates PC Past Accepting new patients
Robert S. Gerson MD PC Past Accepting new patients

Locations

1187 E Cottonwood Ln
Ste B
Casa Grande, AZ 85122
Phone (520) 836-1000

1950 W Frye Rd
Chandler, AZ 85224

1950 W Frye Rd
Bldg B
Chandler, AZ 85224

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

4545 E Chandler Blvd
Ste 208
Phoenix, AZ 85048
Phone (480) 961-2330

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patricia.jalomo.1@14294.direct.athenahealth.com

Organizations & group practices 8

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1538564778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "address_2": "STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "address_2": "STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALOMO",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP7401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.