Individual provider Active NPI

Chikaodi Priscilla Banor, DNP,PMHHP-BC,FNP-C,A

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1649768953
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11330 Issued in AZ
Practice address
501 W Ray Rd Suite 4
Chandler, AZ 85225-7284
Phone
(480) 590-5146
Fax
(480) 590-6120
NPI assigned
Apr 23, 2018
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11330 AZ Primary
Family Nurse Practitioner 363LF0000X AP137355 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61655857 WA

Addresses

Primary practice location

501 W Ray Rd Suite 4
Chandler, AZ 85225-7284

Mailing address

501 W Ray Rd Ste 4
Chandler, AZ 85225-7284
Phone (480) 590-5146

Other identifiers 1

IdentifierTypeStateIssuer
AP11330OtherAZAZ BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, UT, NM, OR, WA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20190315002489 AZ Practitioner - Nurse Practitioner 5193065829 Reassigns benefits to 3 organizations
I20210604001097 TX Practitioner - Nurse Practitioner 5193065829 Reassigns benefits to 3 organizations
I20220427003157 UT Practitioner - Nurse Practitioner 5193065829 Reassigns benefits to 1 organization
I20260406002331 NM Practitioner - Nurse Practitioner 5193065829 Reassigns benefits to 1 organization
I20260413002869 OR Practitioner - Nurse Practitioner 5193065829 Reassigns benefits to 1 organization
I20260413003019 WA Practitioner - Nurse Practitioner 5193065829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 W Ray Rd
Suite 4
Chandler, AZ 85225-7284
Phone (480) 462-5686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP11330AZMDFamily Nurse Practitioner
AP61655857WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Healthcare Solutions PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 1, 2021 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince Mar 11, 2022 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

501 W Ray Rd
Ste 4
Chandler, AZ 85225
Phone (480) 462-5686

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • Direct secure messaging: chikaodi.banor.1@24643.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24643/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 11

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1649768953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W RAY RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257284",
            "telephone_number": "480-590-5146",
            "fax_number": "480-590-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W RAY RD SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257284",
            "telephone_number": "480-590-5146",
            "fax_number": "480-590-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOR",
        "first_name": "CHIKAODI",
        "middle_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "DNP,PMHHP-BC,FNP-C,A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11330",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61655857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF NURSING",
            "identifier": "AP11330",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.