Individual provider Active NPI

Anna O'Bannon, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1780676007
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 1083 ; RN 060080 Issued in AZ
Practice address
2390 E Geronimo St
Integrity Healthcare Connection, PLLC
Chandler, AZ 85225-2339
Phone
(480) 699-2757
Fax
(480) 699-2757
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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 AP 1083 ; RN 060080 AZ Primary

Addresses

Primary practice location

2390 E Geronimo St
Integrity Healthcare Connection, PLLC
Chandler, AZ 85225-2339

Mailing address

2390 E Geronimo St
Chandler, AZ 85225-2339
Phone (480) 699-2757

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
AP 1083 ; RN 060080AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Center of Arizona PC Past Accepting new patients
Integrity Healthcare Connection, PLLC Family Past Accepting new patients
Arizona Premier Dermatology, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1780676007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 E GERONIMO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252339",
            "telephone_number": "480-699-2757",
            "fax_number": "480-699-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 E GERONIMO ST",
            "address_2": "INTEGRITY HEALTHCARE CONNECTION, PLLC",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252339",
            "telephone_number": "480-699-2757",
            "fax_number": "480-699-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANNON",
        "first_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP 1083 ;  RN 060080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.