Active NPI
Daisy Family Health Care
- Primary Care Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- DAISY FAMILY HEALTH CARE
- Practice address
- 4494 W Peoria Ave Ste 115a
Glendale, AZ 85302-2020 - Phone
- (602) 344-9737
- Fax
- (602) 344-9737
- NPI assigned
- Dec 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Davis, NP
- Title
- Provider
- Phone
- (602) 344-9737
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Clinic/Center | 261Q00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
4494 W Peoria Ave Ste 115a
Glendale, AZ 85302-2020
Mailing address
4494 W Peoria Ave Ste 115a
Glendale, AZ 85302-2020
Phone (602) 344-9737
Other practice location 1
15655 W Roosevelt St Ste 214
Goodyear, AZ 85338-9306
Phone (602) 344-9737
National Provider Directory
National Provider DirectoryLocations
13055 W McDowell Rd
Ste G112
Avondale, AZ 85392
Phone (623) 312-3020
15655 W Roosevelt St
Ste 214
Goodyear, AZ 85338
Phone (602) 344-9737
Interoperability endpoints
- https://api.platform.athenahealth.com/22821/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Sun City, AZ
- NPI 1992296768
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1750157483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 W PEORIA AVE STE 115A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022020",
"telephone_number": "602-344-9737",
"fax_number": "602-344-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 W PEORIA AVE STE 115A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022020",
"telephone_number": "602-344-9737",
"fax_number": "602-344-9737"
}
],
"practiceLocations": [
{
"address_1": "15655 W Roosevelt St Ste 214",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853389306",
"country_code": "US",
"telephone_number": "602-344-9737",
"fax_number": "602-344-9737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAISY FAMILY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "602-344-9737",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.