Individual provider Active NPI

Wendy Redford, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1922411461
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP5618 Issued in AZ
Practice address
5251 W Campbell Ave
Ste. 205
Phoenix, AZ 85031-1715
Phone
(623) 547-5235
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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 TAP5618 AZ Primary

Addresses

Primary practice location

5251 W Campbell Ave
Ste. 205
Phoenix, AZ 85031-1715

Mailing address

5251 W Campbell Ave
Ste. 205
Phoenix, AZ 85031-1715
Phone (623) 547-5235

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
I20150213001497 AZ Practitioner - Nurse Practitioner 9133444185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Community Center IncGroup PAC ID 9032264239, 14 clinicians

Practice addresses (Care Compare)

1300 S 10TH St
Phoenix, AZ 85034-4516
Phone (602) 368-9888

1625 N 39TH Ave
Phoenix, AZ 85009-2149
Phone (602) 368-9888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP5618AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Community Center, Inc CurrentSince Dec 1, 2014 Accepting new patients
Wesley Community Center Inc CurrentSince Dec 1, 2014 Accepting new patients
Wesley Community Center Inc Past Accepting new patients
Wesley Community Center, Inc Past Accepting new patients

Locations

5845 E Still Cir
Ste 104
Mesa, AZ 85206
Phone (623) 298-1805

1300 S 10th St
Bldg 1
Phoenix, AZ 85034

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

1625 N 39th Ave
Phoenix, AZ 85009
Phone (602) 233-0017

1510 S 19th Dr
Ste 100
Phoenix, AZ 85009
Phone (602) 257-4323

Interoperability endpoints

  • Direct secure messaging: wendy.redford-mmwchc@contexture.medalliesmail.com
  • Direct secure messaging: wendy.redford@wccphx.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wesley Health CenterPhoenix, AZ, CCN 031876 Federally qualified health center Corporate Officer Jan 1, 2017
Wesley Health CenterPhoenix, AZ, CCN 031931 Federally qualified health center Corporate Officer
W-2 Managing Employee
Dec 1, 2014
Dec 1, 2014
Coffelt Health CenterPhoenix, AZ, CCN 031008 Federally qualified health center W-2 Managing Employee Mar 12, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1922411461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE",
            "address_2": "STE. 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311715",
            "telephone_number": "623-547-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE",
            "address_2": "STE. 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311715",
            "telephone_number": "623-547-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFORD",
        "first_name": "WENDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.