Vanessa Carlos-Medina, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

259800 Issued in AZ

Practice address

28635 N North Valley Pkwy
Phoenix, AZ 85085-5434

Phone

(623) 582-9207

NPI assigned

Jul 19, 2021

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  Medicare reassignment NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700423415
  NPD
• Planned Parenthood Arizona

  • Obstetrics & Gynecology Physician
  • Tempe, AZ
  • NPI 1669627360
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1598338592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28635 N NORTH VALLEY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855434",
            "telephone_number": "623-582-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28635 N NORTH VALLEY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855434",
            "telephone_number": "623-582-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4751 N 15th St # 3",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850143707",
            "country_code": "US",
            "telephone_number": "602-277-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLOS-MEDINA",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "259800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina Ivette Carlini
• Alexandra Carlisle, PA-C
• William Carlisle, OT
• Carlos Gutierrez PLLC (InclusiCare Medical)
• Carlos Rodriguez MD PLLC
• Mara Lena Carlos
• Carin M Carlsen, M.A. CCC-SLP
• Carlson & Palmer PC (The Marriage & Family Institute)
• Aimee Carlson, PHARMD
• Benjmamin Thomas Carlson, PTA

• 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 Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.