Individual provider Active NPI

Ena Salak, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1861336687
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223011 Issued in AZ
Practice address
8101 N 19TH Ave
Phoenix, AZ 85021-5161
Phone
(602) 845-4505
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 223011 AZ Primary

Addresses

Primary practice location

8101 N 19TH Ave
Phoenix, AZ 85021-5161

Mailing address

1121 N 44TH St Apt 3098
Phoenix, AZ 85008-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1121 N 44TH St
Apt 3098
Phoenix, AZ 85008-5743

2145 E Baseline Rd
Suite 101
Tempe, AZ 85283-1546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223011AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Jun 17, 2026 Accepting new patients
Nextcare Arizona LLC PastSince Jun 17, 2026 Accepting new patients

Locations

8101 N 19th Ave
Ste A
Phoenix, AZ 85021
Phone (602) 845-4505

Organizations & group practices 2

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": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1861336687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N 44TH ST APT 3098",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215161",
            "telephone_number": "602-845-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAK",
        "first_name": "ENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.