Individual provider Active NPI

Arezoo Ghasemi, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1861200743
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
314421 Issued in AZ
Practice address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone
(602) 470-5000
Fax
(602) 470-5063
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 314421 AZ Primary

Addresses

Primary practice location

2929 E Thomas Rd
Phoenix, AZ 85016-8034

Mailing address

5620 S Doubloon CT Unit D
Tempe, AZ 85283-2058
Phone (480) 299-2284

Other practice location 1

5620 S Doubloon Ct Unit D
Tempe, AZ 85283-2058
Phone (480) 299-2284

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
I20250116002646 AZ Practitioner - Nurse Practitioner 9436687571 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314421AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Heallth Care District CurrentSince Jan 14, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2025 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jan 14, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2025 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

7808 W Thomas Rd
Phoenix, AZ 85033
Phone (602) 344-1338

Interoperability endpoints

  • Direct secure messaging: aghasemi279614@direct.valleywisehealth.org

Organizations & group practices 8

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": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1861200743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 S DOUBLOON CT UNIT D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832058",
            "telephone_number": "480-299-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 S Doubloon Ct Unit D",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852832058",
            "country_code": "US",
            "telephone_number": "480-299-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHASEMI",
        "first_name": "AREZOO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "314421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.