Individual provider Active NPI

Stefany Sheree Irizarry

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1679174262
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245647 Issued in AZ
Practice address
750 N Estrella Pkwy Ste 40
Goodyear, AZ 85338-9279
Phone
(623) 223-7093
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 245647 AZ Primary

Addresses

Primary practice location

750 N Estrella Pkwy Ste 40
Goodyear, AZ 85338-9279

Mailing address

12912 W Peppertree LN
Glendale, AZ 85307-1906
Phone (623) 332-3349

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
I20220306000016 AZ Practitioner - Nurse Practitioner 2961896097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthfirst Medical Group PCGroup PAC ID 3971041328, 4 clinicians

Practice addresses (Care Compare)

4150 N 108TH Ave
Suite 142
Phoenix, AZ 85037-5467
Phone (623) 242-9259

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix West Internal Medicine LLC CurrentSince Aug 25, 2022 Accepting new patients
Nextcare Arizona LLC CurrentSince Dec 7, 2021 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Healthfirst Medical Group PC CurrentSince Jun 1, 2024 Accepting new patients
Healthfirst Management Group, LLC Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

9524 W Camelback Rd
Ste 130
Glendale, AZ 85305

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

4150 N 108th Ave
Ste 142
Phoenix, AZ 85037
Phone (623) 242-9259

3201 W Peoria Ave
Ste 604
Phoenix, AZ 85029
Phone (602) 993-1773

14300 W Granite Valley Dr
Ste B7
Sun City West, AZ 85375
Phone (623) 362-9462

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBGCAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1679174262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12912 W PEPPERTREE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853071906",
            "telephone_number": "623-332-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY STE 40",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389279",
            "telephone_number": "623-223-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "STEFANY",
        "middle_name": "SHEREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "245647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.