Ekinadase Ayiyi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

256188 Issued in AZ

Practice address

4022 E Presidio St
Mesa, AZ 85215-1113

Phone

(909) 733-9960

NPI assigned

Apr 1, 2021

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Lifeline Hospitalist Associates LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1265107478
  Medicare reassignment NPD
• The Little Clinic of Arizona LLC

  • Family Nurse Practitioner
  • Buckeye, AZ
  • NPI 1023216249
  Medicare reassignment NPD
• Arizona Post Acute Care Specialists LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1669246070
  Medicare reassignment

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1710565361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16119 W LATHAM ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151113",
            "telephone_number": "909-733-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIYI",
        "first_name": "EKINADASE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "256188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarett Axelrod
• Krysten Ashley Axelson, DPT
• Axios Wellness Center LLC
• Axis Case Management LLC
• Brenda Zulema Ayala
• Aisha Mohammed Ayoub
• Suha Ali Ayoub, MD
• Az Advanced Wound Care
• Az Anesthesia, LLC
• Az Be Well PLLC

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.