Individual provider Active NPI

Haneen Ahmed, APRN, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1740906304
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036831 Issued in CA
Practice address
1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144
Phone
(480) 677-8282
Fax
(888) 470-2777
NPI assigned
Oct 17, 2022
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 95036831 CA Primary
Family Nurse Practitioner 363LF0000X 244949 OH

Addresses

Primary practice location

1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other practice location 1

525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498

Other practice location 2

8530 La Mesa Blvd Ste 200
LA Mesa, CA 91942-0966
Phone (619) 515-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230227001149 AZ Practitioner - Nurse Practitioner 9830562669 Reassigns benefits to 2 organizations
I20251125000523 CA Practitioner - Nurse Practitioner 9830562669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

1035 N Ellsworth Rd
Suite 108
Mesa, AZ 85207-5144
Phone (480) 667-8282

525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036831CAMDFamily Nurse Practitioner
244949OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Sep 14, 2023 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Nov 17, 2025 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Epangelia Properties, LLC CurrentSince Nov 23, 2022 Accepting new patients
Good Health Medical, PLLC CurrentSince Sep 14, 2023 Accepting new patients
Livn, P.C. Past Accepting new patients
Florence Wellness PLLC Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

9221 E Baseline Rd
Ste A106
Mesa, AZ 85209

1847 W Heatherbrae Dr
Phoenix, AZ 85015
Phone (602) 249-4508

1847 W Heatherbrae Dr
Ste A
Phoenix, AZ 85015
Phone (602) 263-0663

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1740906304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N ELLSWORTH RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075144",
            "telephone_number": "480-677-8282",
            "fax_number": "888-470-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Main St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920204007",
            "country_code": "US",
            "telephone_number": "619-515-2498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8530 La Mesa Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919420966",
            "country_code": "US",
            "telephone_number": "619-515-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "HANEEN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036831",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "244949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.