Active NPI
Nichole Townsend, MD
- Pediatric Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 47520
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-4660
- Fax
- (602) 933-8945
- NPI assigned
- Jun 4, 2012
- Last updated
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 47520 | AZ | |
| Internal Medicine Physician | 207R00000X | R73384 | AZ | |
| Pediatric Anesthesiology Physician | 207LP3000X | 47520 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other practice location 1
1111 E McDowell Rd
LL2
Phoenix, AZ 85006-2612
Phone (602) 839-2296
Other practice location 2
1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633
Phone (602) 262-8917
Other practice location 3
1111 E McDowell Rd
LL2
Phoenix, AZ 85006-2612
Phone (602) 839-2296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284088 | Medicaid | AZ |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47520 | AZ | MD | Anesthesiology Physician |
| R73384 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Phoenix Children's Hospital | Current | Accepting new patients | |
| Phoenix Children's Hospital | Past | Accepting new patients |
Locations
3370 S Mercy Rd
Ste 112
Gilbert, AZ 85297
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1111 E McDowell Rd
#2
Phoenix, AZ 85006
Phone (602) 839-2206
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
1625 N Campbell Ave
Tucson, AZ 85719
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1043443237
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
dba Phoenix Children's Outpatient Pharmacy
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1841586773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1720349095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-4660",
"fax_number": "602-933-8945"
}
],
"practiceLocations": [
{
"address_1": "1111 E McDowell Rd",
"address_2": "LL2",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-2296",
"fax_number": "602-839-2084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 N Central Ave Ste 1600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850044633",
"country_code": "US",
"telephone_number": "602-262-8917",
"fax_number": "602-262-8890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 E McDowell Rd",
"address_2": "LL2",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-2296",
"fax_number": "602-839-2084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOWNSEND",
"first_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "47520",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R73384",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "AZ",
"license": "47520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284088",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.