Individual provider Active NPI

Chinasa Veney

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1629709886
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
270419 Issued in AZ
Practice address
14811 W Bell Rd Ste 100
Surprise, AZ 85374-7602
Phone
(623) 328-7323
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 270419 AZ Primary

Addresses

Primary practice location

14811 W Bell Rd Ste 100
Surprise, AZ 85374-7602

Mailing address

14811 W Bell Rd Ste 100
Surprise, AZ 85374-7602
Phone (623) 328-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270419AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Homecare LLC CurrentSince Dec 20, 2023 Accepting new patients
Buena Vista Recovery, LLC Past Accepting new patients
Umbrella Medical LLC Psychiatric/Mental Health PastSince Jan 12, 2025 Accepting new patients
Buena Vista Recovery, LLC Past Accepting new patients

Locations

9225 N 3rd St
Ste 102
Phoenix, AZ 85020
Phone (602) 362-2983

9225 N 3rd St
Ste 203
Phoenix, AZ 85020
Phone (602) 362-2983

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21147/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1629709886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747602",
            "telephone_number": "623-328-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747602",
            "telephone_number": "623-328-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEY",
        "first_name": "CHINASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "270419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.