Active NPI
Juan Ramon Herrera, APRN PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 274083
- Practice address
- 14100 N 83Rd Ave
Peoria, AZ 85381-5658 - Phone
- (623) 523-6600
- NPI assigned
- Apr 1, 2022
- Last updated
- Apr 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 274083 | AZ | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021185337 | AZ |
Addresses
Primary practice location
14100 N 83Rd Ave
Peoria, AZ 85381-5658
Mailing address
14100 N 83Rd Ave
Peoria, AZ 85381-5658
Phone (623) 583-0232
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021185337 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 274083 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cactus Serenity Behavioral Health Services LLC | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Current | Accepting new patients | |
| Cactus Serenity Behavioral Health Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Current | Accepting new patients |
Locations
11851 N 51st Ave
Ste B110
Glendale, AZ 85304
11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001
3515 W Union Hills Dr
Ste 114B
Glendale, AZ 85308
Phone (602) 612-3124
924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800
14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232
10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700
16251 N Cave Creek Rd
Phoenix, AZ 85032
20440 N 27th Ave
Phoenix, AZ 85027
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020
9015 N 3rd St
Phoenix, AZ 85020
8705 E McDowell Rd
Scottsdale, AZ 85257
Interoperability endpoints
- jherrera754522@direct.ochin.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1649042375
Nurse Practitioner
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1942518550
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1922232925
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1093500670
-
dba Copperwood II Health Center
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1326731555
-
- Adult Mental Health Clinic/Center
- Peoria, AZ
- NPI 1124252127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1821738170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 N 83RD AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815658",
"telephone_number": "623-583-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 N 83RD AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815658",
"telephone_number": "623-523-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "JUAN",
"middle_name": "RAMON",
"credential": "APRN PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "274083",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "2021185337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.