Individual provider Active NPI

Jennifer Conditt, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1811689177
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
305989 Issued in AZ
Practice address
5018 N 7TH St
Phoenix, AZ 85014-3101
Phone
(602) 255-7680
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 305989 AZ Primary

Addresses

Primary practice location

5018 N 7TH St
Phoenix, AZ 85014-3101

Mailing address

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

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
I20240523000198 AZ Practitioner - Nurse Practitioner 3870957152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

13901 W Meeker Blvd
Sun City West, AZ 85375-4475
Phone (623) 465-6435

15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390

21980 N 83Rd Ave
Peoria, AZ 85383-1850
Phone (623) 465-6375

4232 W Bell Rd
Glendale, AZ 85308-4027
Phone (623) 465-6360

7611 W Cactus Rd
Peoria, AZ 85381-5203
Phone (623) 465-6315

7952 N 43Rd Ave
Glendale, AZ 85301-1662
Phone (623) 465-6330

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305989AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

5018 N 7th St
Phoenix, AZ 85014
Phone (602) 255-7680

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 5

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1811689177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143101",
            "telephone_number": "602-255-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143101",
            "telephone_number": "602-255-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDITT",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "305989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.