Individual provider Active NPI

Mollanda Laura Mazzo, AG-ACNP

  • Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1801440904
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP11152 Issued in AZ
Practice address
1325 N Litchfield Rd
Goodyear, AZ 85395-1228
Phone
(623) 242-1231
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP11152 AZ Primary
Acute Care Nurse Practitioner 363LA2100X AP11152 AZ
Adult Health Nurse Practitioner 363LA2200X AP11152 AZ

Addresses

Primary practice location

1325 N Litchfield Rd
Goodyear, AZ 85395-1228

Mailing address

1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215
Phone (623) 242-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191009000742 AZ Practitioner - Nurse Practitioner 1052642840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Goodyear, AZ 85395-1215

13677 W McDowell Rd
Suite 201
Goodyear, AZ 85395-2635
Phone (623) 536-4200

18699 N 67TH Ave
Suite 120
Glendale, AZ 85308-7141
Phone (623) 242-1231

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-1000

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 3, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 3, 2019 Accepting new patients

Locations

18699 N 67th Ave
Ste 120
Glendale, AZ 85308
Phone (602) 298-8888

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1325 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 242-1231

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

Interoperability endpoints

  • Direct secure messaging: mollanda.mazzo.1@600.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1801440904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 125",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951215",
            "telephone_number": "623-242-1231",
            "fax_number": "623-242-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951228",
            "telephone_number": "623-242-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZO",
        "first_name": "MOLLANDA",
        "middle_name": "LAURA",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11152",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP11152",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP11152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.