Individual provider Active NPI

Jessica Lynn Contreras, WHNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1962034355
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RNP236357 Issued in AZ
Practice address
2020 N 75TH Ave Ste 11
Phoenix, AZ 85035-3200
Phone
(623) 209-9838
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RNP236357 AZ Primary

Addresses

Primary practice location

2020 N 75TH Ave Ste 11
Phoenix, AZ 85035-3200

Mailing address

2020 N 75TH Ave Ste 11
Phoenix, AZ 85035-3200
Phone (623) 209-9838

Other practice location 1

19875 N 51st Ave
Glendale, AZ 85308-5114
Phone (602) 581-8998

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
I20220214002254 AZ Practitioner - Nurse Practitioner 7315330420 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP236357AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Medical Centers CurrentSince Mar 14, 2022 Accepting new patients
Planned Parenthood Arizona Past Accepting new patients
Lankford Holdings Monogram, Inc PastSince Mar 14, 2022 Accepting new patients

Locations

19875 N 51st Ave
Glendale, AZ 85308
Phone (623) 581-8998

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1962034355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N 75TH AVE STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353200",
            "telephone_number": "623-209-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N 75TH AVE STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353200",
            "telephone_number": "623-209-9838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19875 N 51st Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085114",
            "country_code": "US",
            "telephone_number": "602-581-8998",
            "fax_number": "602-581-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RNP236357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.