Active NPI
Jocelyn Abueva Dimeco, FNP
- Family Nurse Practitioner
- Goodyear, AZ
National Provider Identifier
1831914027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 314591
- Practice address
- 1634 N 136TH LN
Goodyear, AZ 85395-2224 - Phone
- (623) 363-6004
- NPI assigned
- Nov 21, 2024
- Last updated
- May 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 314591 | AZ | Primary |
Addresses
Primary practice location
1634 N 136TH LN
Goodyear, AZ 85395-2224
Mailing address
1634 N 136TH LN
Goodyear, AZ 85395-2224
Phone (623) 363-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- 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 |
|---|---|---|---|
| 314591 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Vital Care LLC | Single Specialty | Current | Accepting new patients |
Locations
1928 E Highland Ave
Ste F104
Phoenix, AZ 85016
Phone (602) 898-6977
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1831914027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 N 136TH LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952224",
"telephone_number": "623-363-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 N 136TH LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952224",
"telephone_number": "623-363-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMECO",
"first_name": "JOCELYN",
"middle_name": "ABUEVA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "314591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.