Individual provider Active NPI

Emma Willoughby, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1538889159
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
222627 Issued in AZ
Practice address
26224 N Tatum Blvd Ste 1
Phoenix, AZ 85050-7500
Phone
(480) 563-1111
Fax
(480) 563-3044
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 222627 AZ
Nurse Practitioner 363L00000X 222627 AZ Primary

Addresses

Primary practice location

26224 N Tatum Blvd Ste 1
Phoenix, AZ 85050-7500

Mailing address

21807 N Scottsdale Rd
Scottsdale, AZ 85255-7439
Phone (480) 860-8488

Other practice location 1

931 E Denton Ln
Phoenix, AZ 85014-2674
Phone (925) 270-9756

Other practice location 2

21807 N Scottsdale Rd
Scottsdale, AZ 85255-7439
Phone (480) 860-8488

Other identifiers 1

IdentifierTypeStateIssuer
173341MedicaidAZ

Other names 1

  • Emma Covington Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
222627AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maryvale Pediatric Clinic Past Accepting new patients
North Scottsdale Pediatric Associates Past Accepting new patients
Arbor Medical Partners, LLC Past Accepting new patients
Phoenix Pediatrics LTD PastSince Nov 22, 2008 Accepting new patients

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1538889159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21807 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557439",
            "telephone_number": "480-860-8488",
            "fax_number": "480-860-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26224 N TATUM BLVD STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507500",
            "telephone_number": "480-563-1111",
            "fax_number": "480-563-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 E Denton Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142674",
            "country_code": "US",
            "telephone_number": "925-270-9756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21807 N Scottsdale Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852557439",
            "country_code": "US",
            "telephone_number": "480-860-8488",
            "fax_number": "480-860-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "EMMA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "222627",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "222627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "COVINGTON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 10, 2025; 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.