Naomi Fayzulayev, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

264234 Issued in AZ

Practice address

15643 N 7TH Dr
Phoenix, AZ 85023-4472

Phone

(917) 776-4162

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beso Wellness and Longevity Center, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1639885031
  NPD Authorized official

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1538839733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 N 7TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234472",
            "telephone_number": "917-776-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 N 7TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234472",
            "telephone_number": "917-776-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYZULAYEV",
        "first_name": "NAOMI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "264234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fay'S House 1,2,3 LLC
• Abenego Fayah, LMT
• Daniel Fayard, M.D.
• Lynda Fawn Faye, OTR L
• Shirleeah Fayson, AT
• Shawn Fazel, M.D.
• Andrew Fazenbaker, MS, CGC
• Fearon Physical Therapy PC
• Helene Marie Fearon, PT
• Timothy Owen Fearon, PT

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.