Individual provider Active NPI

Peninah N Gitonga, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1811515901
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
287155 Issued in AZ
Practice address
4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone
(602) 685-6000
Fax
(602) 275-1355
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 287155 AZ Primary

Addresses

Primary practice location

4909 E McDowell Rd
Phoenix, AZ 85008-4227

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peninah.gitonga@terishealthservices.org

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
I20230628002160 AZ Practitioner - Nurse Practitioner 7618335308 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287155AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terros, Inc. Current Accepting new patients
Terros, Inc. CurrentSince Jun 13, 2023 Accepting new patients
Terros Inc CurrentSince Jun 13, 2023 Accepting new patients

Locations

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

Interoperability endpoints

  • Direct secure messaging: penni.gitonga.p1@direct.terros.nextgenshare.com

Organizations & group practices 17

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.

View all 17

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terros, Inc. 26 clinicians

Practice addresses (Care Compare)

4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone (602) 685-6000

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1811515901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084227",
            "telephone_number": "602-685-6000",
            "fax_number": "602-275-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITONGA",
        "first_name": "PENINAH",
        "middle_name": "N",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "287155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peninah.gitonga@terishealthservices.org",
            "affiliation": "N",
            "address_1": "7205 S 51st Ave Ste 203",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853397239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.