Individual provider Active NPI

Julius E Chaney, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1851394183
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP0111 Issued in AZ
Practice address
750 E Thunderbird Rd Ste 1-3
Phoenix, AZ 85022-5306
Phone
(602) 230-7373
NPI assigned
May 31, 2005
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN033784 AZ
Family Nurse Practitioner 363LF0000X AP0111 AZ Primary

Addresses

Primary practice location

750 E Thunderbird Rd Ste 1-3
Phoenix, AZ 85022-5306

Mailing address

3620 N 3Rd St
Phoenix, AZ 85012-2020
Phone (602) 230-7373

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
I20050204000396 AZ Practitioner - Nurse Practitioner 1052362241 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN033784AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC CurrentSince Mar 16, 2019 Accepting new patients
Denova Collaborative Health, LLC Current Accepting new patients
4C Medical Group PLC CurrentSince Mar 16, 2019 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Dec 18, 2019 Accepting new patients
Lankford Holdings Monogram, Inc Past Accepting new patients
Denova Collaborative Health, LLC Past Accepting new patients
Phoenician Medical Center, Inc Past Accepting new patients

Locations

235 W Western Ave
Avondale, AZ 85323
Phone (623) 772-5091

17218 N 72nd Dr
Ste 100
Glendale, AZ 85308
Phone (623) 334-8670

2204 S Dobson Rd
Ste 102
Mesa, AZ 85202
Phone (480) 485-5166

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3620 N 3rd St
Phoenix, AZ 85012
Phone (602) 329-8250

4110 N 108th Ave
Ste 101
Phoenix, AZ 85037
Phone (623) 218-0780

750 E Thunderbird Rd
#13
Phoenix, AZ 85022

750 E Thunderbird Rd
Ste 13
Phoenix, AZ 85022
Phone (602) 682-7455

9014 S Central Ave
Phoenix, AZ 85042
Phone (602) 384-8820

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1851394183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122020",
            "telephone_number": "602-230-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E THUNDERBIRD RD STE 1-3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225306",
            "telephone_number": "602-230-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "JULIUS",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN033784",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.