Individual provider Active NPI

Nichole E Nassif, DNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1699109645
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8805 Issued in AZ
Practice address
281 N Roosevelt Ave Ste 1
Chandler, AZ 85226-2620
Phone
(602) 283-7474
NPI assigned
Aug 27, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171138 VA
Family Nurse Practitioner 363LF0000X AP8805 AZ Primary

Addresses

Primary practice location

281 N Roosevelt Ave Ste 1
Chandler, AZ 85226-2620

Mailing address

281 N Roosevelt Ave Ste 1
Chandler, AZ 85226-2620
Phone (602) 283-7474

Other practice location 1

1 Riverside Circle
Floor 4
Roanoke, VA 24016
Phone (540) 981-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8805AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Palliative Care, Inc CurrentSince Jul 24, 2022 Accepting new patients
Homestead Hospice of Phoenix LLC PastSince Jul 24, 2022 Accepting new patients

Locations

281 N Roosevelt Ave
Ste 1
Chandler, AZ 85226
Phone (602) 283-7474

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, 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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699109645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N ROOSEVELT AVE STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262620",
            "telephone_number": "602-283-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N ROOSEVELT AVE STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262620",
            "telephone_number": "602-283-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverside Circle",
            "address_2": "Floor 4",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24016",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "NICHOLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.