Individual provider Active NPI

Viva Zima, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1932779121
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
258821 Issued in AZ
Practice address
42101 N 41St Dr Ste 148
Phoenix, AZ 85086-3819
Phone
(623) 688-2105
Fax
(949) 288-0264
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 258821 AZ
Family Nurse Practitioner 363LF0000X 258821 AZ Primary

Addresses

Primary practice location

42101 N 41St Dr Ste 148
Phoenix, AZ 85086-3819

Mailing address

42101 N 41St Dr Ste 148
Phoenix, AZ 85086-3819
Phone (623) 688-2105

Other practice location 1

5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147
Phone (623) 387-3705

Other names 1

  • Viva Vilistus Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates of Arizona LLC PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1932779121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42101 N 41ST DR STE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863819",
            "telephone_number": "623-688-2105",
            "fax_number": "949-288-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42101 N 41ST DR STE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863819",
            "telephone_number": "623-688-2105",
            "fax_number": "949-288-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 W Olive Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853023147",
            "country_code": "US",
            "telephone_number": "623-387-3705",
            "fax_number": "623-439-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMA",
        "first_name": "VIVA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "258821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "258821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVA",
            "last_name": "VILISTUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.