Individual provider Active NPI

Andrew B. Anthony, D.C., FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1710003355
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246065 Issued in AZ
Practice address
6320 W Union Hills Dr Ste B1500
Glendale, AZ 85308-1062
Phone
(480) 625-4599
NPI assigned
Mar 22, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 246065 AZ Primary
Chiropractor 111N00000X 7556 AZ
Sports Physician Chiropractor 111NS0005X 7556 AZ

Addresses

Primary practice location

6320 W Union Hills Dr Ste B1500
Glendale, AZ 85308-1062

Mailing address

6320 W Union Hills Dr Ste B1500
Glendale, AZ 85308-1062
Phone (623) 776-6633

Other practice location 1

6320 W Union Hills Dr Ste B1500
Glendale, AZ 85308-1062
Phone (480) 625-4599

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
I20230613003039 AZ Practitioner - Nurse Practitioner 8628433422 Practice locations: Glendale, AZ

Care Compare profile

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

Practice addresses (Care Compare)

6320 W Union Hills Dr
Suite B1500
Glendale, AZ 85308-1062
Phone (623) 776-6633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7556AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kick Start Integrative Health PLLC CurrentSince Mar 1, 2023 Accepting new patients
Inline Family Chiropractic, P.C. Sports Physician Past Accepting new patients

Locations

6320 W Union Hills Dr
Ste B1500
Glendale, AZ 85308
Phone (480) 625-4599

Interoperability endpoints

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

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1710003355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE B1500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081062",
            "telephone_number": "623-776-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE B1500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081062",
            "telephone_number": "480-625-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 W Union Hills Dr Ste B1500",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081062",
            "country_code": "US",
            "telephone_number": "480-625-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C., FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "246065",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7556",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "7556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.