Individual provider Active NPI

Anna Manalo, MSN FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1609205350
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5299 Issued in AZ
Practice address
840 E Canyon Way
Chandler, AZ 85249-5348
Phone
(480) 326-5143
NPI assigned
Nov 4, 2013
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN122732 AZ
Family Nurse Practitioner 363LF0000X AP5299 AZ Primary

Addresses

Primary practice location

840 E Canyon Way
Chandler, AZ 85249-5348

Mailing address

840 E Canyon Way
Chandler, AZ 85249-5348
Phone (480) 326-5143

Other identifiers 1

IdentifierTypeStateIssuer
900365MedicaidAZ

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
I20140228000039 AZ Practitioner - Nurse Practitioner 6305076951 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Phoenix, AZ 85032
Phone (623) 680-9038

1825 E Northern Ave
Suite 100
Phoenix, AZ 85020-3953

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN122732AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Kidney Associates PLC CurrentSince Nov 18, 2013 Accepting new patients
Akdhc Surgery Center, LLC Current Accepting new patients
Az Mobile Doctors LLC Family CurrentSince Dec 1, 2024 Accepting new patients
Paramount Primary Doctors LLC CurrentSince Aug 1, 2025 Accepting new patients
Novacare Clinic LLC Family CurrentSince Oct 1, 2025 Accepting new patients
St Walter LLC PastSince Feb 9, 2020 Accepting new patients
Mdvip365 PastSince Mar 1, 2021 Accepting new patients

Locations

612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170

10240 N 31st Ave
Ste 122
Phoenix, AZ 85051
Phone (602) 499-6675

13416 N 32nd St
Ste 102
Phoenix, AZ 85032
Phone (602) 616-2291

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

22715 S Ellsworth Rd
Bldg G
San Tan Valley, AZ 85142
Phone (480) 677-2463

2022 E Prince Rd
Tucson, AZ 85719
Phone (520) 327-0007

Interoperability endpoints

  • Direct secure messaging: annamanalo.paramountprimarydoctor@162306.advancedmd-direct.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1609205350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E CANYON WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495348",
            "telephone_number": "480-326-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E CANYON WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495348",
            "telephone_number": "480-326-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "ANNA",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN122732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900365",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.