Bose Grace Anifowose, DNP, FNP, PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7746 Issued in AZ

Practice address

1075 W Avalon Canyon Dr
Casa Grande, AZ 85122-6706

Phone

(623) 565-2668

Fax

(520) 635-5510

NPI assigned

Jun 1, 2015

Last updated

Feb 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bose.anifowose.p1@direct.lifewell.nextgenshare.com
• Direct secure messaging: bose.anifowosenp.p1@direct.cbridges.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AEEDDD

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.

• Tenacity Integrated Behavioral Healthcare, PLLC

  dba Tenacity Integrated Behavioral Healthcare

  • Psychiatric Residential Treatment Facility
  • Casa Grande, AZ
  • NPI 1962010595
  Authorized official Same address or phone
• Mind 247 Practice LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1659089951
  NPD
• Mind 247 Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1902472467
  NPD
• Gilead Heart and Vascular PLLC

  • Cardiovascular Disease Physician
  • Apache Junction, AZ
  • NPI 1659154250
  NPD (past)
• Lifewell Behavioral Wellness

  dba Lifewell Behavioral Wellness - Royal Palms

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1982191284
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1932589322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 E ALONSO DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851947460",
            "telephone_number": "623-565-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 W AVALON CANYON DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226706",
            "telephone_number": "623-565-2668",
            "fax_number": "520-635-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2381 E Alonso Dr",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851947460",
            "country_code": "US",
            "telephone_number": "623-565-2668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANIFOWOSE",
        "first_name": "BOSE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-02-03",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7746",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger S. Andersen, D.O.
• Hailey Anderson
• Melissa Marie Andersson, CNM
• Megan E. Andree, MS, OTR/L
• Angel Care Health Services, Inc. (Angels Care Home Health)
• Robert Cristian Anthis, HAD
• Apex Mobile Imaging LLC
• Katherine Appel
• Russell Appleton
• Archimedes Marcelo Aquino, L.P.C.

• Family Nurse Practitioner in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.

Verify at the official NPI Registry.