Individual provider Active NPI

Bonnie J Rouzaud, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1629208400
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3388 Issued in AZ
Practice address
1920 E Baseline Road
Tempe, AZ 85283
Phone
(480) 345-5085
Fax
(480) 345-5266
NPI assigned
Jul 15, 2009
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3388 AZ Primary

Addresses

Primary practice location

1920 E Baseline Road
Tempe, AZ 85283

Mailing address

25500 N. Norterra Parkway, BLDG B
Phoenix, AZ 85085
Phone (623) 277-1000

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
I20090812000518 AZ Practitioner - Nurse Practitioner 7810041761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1920 E Baseline Rd
Tempe, AZ 85283-1511
Phone (800) 233-3264

6220 W Bell Rd
Glendale, AZ 85308-3896

6811 E Superstition Springs Blvd
Mesa, AZ 85209-4001
Phone (800) 233-3264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3388AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Mar 15, 2025 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Laurel a. Retay DO, PLC Past Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835

Interoperability endpoints

  • Direct secure messaging: brouzaud10347@evernorth.direct-ci.com

Organizations & group practices 5

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1629208400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N. NORTERRA PARKWAY, BLDG B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-277-1000",
            "fax_number": "602-906-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E BASELINE ROAD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "480-345-5085",
            "fax_number": "480-345-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZAUD",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.