Organization Active NPI

Daisy Family Health Care

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1750157483
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Angela Davis, NPNPI 1992296768
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)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X
Clinic/Center 261Q00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.