Individual provider Active NPI

Ann L Schlensig, N.P.

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1669419354
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4482 Issued in AZ
Practice address
21632 N 35TH Ave
Glendale, AZ 85308-2061
Phone
(855) 925-4733
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6663 CA
Family Nurse Practitioner 363LF0000X AP4482 AZ Primary

Addresses

Primary practice location

21632 N 35TH Ave
Glendale, AZ 85308-2061

Mailing address

21632 N 35TH Ave
Glendale, AZ 85308-2061
Phone (855) 925-4733

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ41996ZMedicaidCA

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
6663CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careathome Medical Practice Ca PC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients

Locations

600 Anton Blvd
Fl 11
Costa Mesa, CA 92626
Phone (714) 371-4115

Organizations & group practices 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1669419354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21632 N 35TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082061",
            "telephone_number": "855-925-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21632 N 35TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082061",
            "telephone_number": "855-925-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLENSIG",
        "first_name": "ANN",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "6663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ41996Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.