Individual provider Active NPI

Andrew James Farris, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1962353946
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
218218 Issued in AZ
Practice address
1331 N 7TH St Ste 375
Phoenix, AZ 85006-2707
Phone
(602) 307-0070
Fax
(602) 307-0080
NPI assigned
Feb 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 218218 AZ Primary

Addresses

Primary practice location

1331 N 7TH St Ste 375
Phoenix, AZ 85006-2707

Mailing address

16852 W Las Palmaritas Dr
Waddell, AZ 85355-7933

Other practice location 1

9305 W Thomas Rd Ste 270
Phoenix, AZ 85037-3364
Phone (602) 307-0070

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
I20260501000198 AZ Practitioner - Nurse Practitioner 0547737124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1331 N 7TH St
Suite 375
Phoenix, AZ 85006-2707

4401 E Janice Way
Phoenix, AZ 85032-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
218218AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Kidney Associates PLC Past Accepting new patients
Heart & Vascular Center of Arizona, PLLC PastSince May 28, 2001 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1962353946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16852 W LAS PALMARITAS DR",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062707",
            "telephone_number": "602-307-0070",
            "fax_number": "602-307-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9305 W Thomas Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373364",
            "country_code": "US",
            "telephone_number": "602-307-0070",
            "fax_number": "602-307-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "218218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.