Individual provider Active NPI

Christine Rocks-Lopez

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1639553548
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP7820 Issued in AZ
Practice address
10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909
Phone
(623) 385-7900
Fax
(623) 792-1232
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP7820 AZ Primary

Addresses

Primary practice location

10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909

Mailing address

10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909
Phone (623) 385-7900

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
I20160519001980 AZ Practitioner - Nurse Practitioner 9335438050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Life CorporationGroup PAC ID 9739353061, 10 clinicians

Practice addresses (Care Compare)

4338 W Thomas Rd
Suite 116
Phoenix, AZ 85031-3878
Phone (623) 385-7900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7820AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Life Corporation Family Medicine CurrentSince May 1, 2016 Accepting new patients
Healthy Life Family Medicine Past Accepting new patients

Locations

4338 W Thomas Rd
Ste 116
Phoenix, AZ 85031
Phone (623) 385-7900

10240 W Indian School Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 385-7900

4338 W Thomas Rd
Ste 117
Phoenix, AZ 85031
Phone (602) 429-2239

14741 W Mountain View Blvd
Bldg 200
Surprise, AZ 85374

14741 W Mountain View Blvd
Ste 500
Surprise, AZ 85374

14741 W Mountain View Blvd
Ste 155
Surprise, AZ 85374

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1639553548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375909",
            "telephone_number": "623-385-7900",
            "fax_number": "623-792-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375909",
            "telephone_number": "623-385-7900",
            "fax_number": "623-792-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKS-LOPEZ",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP7820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.