Individual provider Active NPI

Damara Rhea Vasquez, PNP

  • Pediatric Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1972031052
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP10185 Issued in AZ
Practice address
3575 W Deer Valley Rd
Glendale, AZ 85308-2002
Phone
(480) 585-5200
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP10185 AZ Primary

Addresses

Primary practice location

3575 W Deer Valley Rd
Glendale, AZ 85308-2002

Mailing address

8203 W Oraibi Dr Apt 1010
Peoria, AZ 85382-4683

Other practice location 1

7010 E Chauncey Ln Ste 225
Phoenix, AZ 85054-3117
Phone (480) 585-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10185AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Pediatrics, P.C. Pediatrics Past Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC PastSince Oct 27, 2024 Accepting new patients
West Valley Pediatrics, P.C. Past Accepting new patients

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972031052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 W ORAIBI DR APT 1010",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 W DEER VALLEY RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082002",
            "telephone_number": "480-585-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 E Chauncey Ln Ste 225",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850543117",
            "country_code": "US",
            "telephone_number": "480-585-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "DAMARA",
        "middle_name": "RHEA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP10185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.