Individual provider Active NPI

Cicili Arockiaraj, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1730567801
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
126288 Issued in AZ
Practice address
4136 N 75TH Ave Ste 116
Phoenix, AZ 85033-3100
Phone
(623) 247-1234
Fax
(623) 247-4231
NPI assigned
May 11, 2015
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 126288 AZ Primary

Addresses

Primary practice location

4136 N 75TH Ave Ste 116
Phoenix, AZ 85033-3100

Mailing address

19401 N Cave Creek Rd Ste 18
Phoenix, AZ 85024-1825
Phone (602) 996-0099

Other practice location 1

8053 W Caron Dr
Peoria, AZ 85345-4818
Phone (602) 326-7997

Other names 1

  • Cicili Arockiaraj Professional name

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
126288AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinal Hispanic Council Current Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Intensive Treatment Systems LLC Current Accepting new patients

Locations

107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619

1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000

19401 N Cave Creek Rd
Ste 18
Phoenix, AZ 85024
Phone (602) 996-0099

4136 N 75th Ave
Ste 116
Phoenix, AZ 85033
Phone (602) 903-7774

301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242

3939 S Park Ave
Ste 150
Tucson, AZ 85714
Phone (520) 333-4320

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

2545 S Arizona Ave
Bldg A
Yuma, AZ 85364

Organizations & group practices 3

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1730567801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 N CAVE CREEK RD STE 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241825",
            "telephone_number": "602-996-0099",
            "fax_number": "602-996-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 N 75TH AVE STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333100",
            "telephone_number": "623-247-1234",
            "fax_number": "623-247-4231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8053 W Caron Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853454818",
            "country_code": "US",
            "telephone_number": "602-326-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AROCKIARAJ",
        "first_name": "CICILI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "126288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CICILI",
            "last_name": "AROCKIARAJ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 7, 2019; 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.