Individual provider Active NPI

Nadezhda Ivanovna Lind, FNP

  • Family Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1982391058
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
290672 Issued in AZ
Practice address
14416 W Meeker Blvd
Sun City West, AZ 85375-5284
Phone
(623) 876-3800
Fax
(623) 546-9896
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 290672 AZ
Family Nurse Practitioner 363LF0000X 290672 AZ Primary

Addresses

Primary practice location

14416 W Meeker Blvd
Sun City West, AZ 85375-5284

Mailing address

1915 S 104TH Dr
Tolleson, AZ 85353-1382
Phone (623) 399-0288

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
I20230502002829 AZ Practitioner - Nurse Practitioner 7214392901 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14416 W Meeker Blvd
Sun City, AZ 85375-5284
Phone (623) 876-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290672AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Minimally Invasive Surgical CurrentSince Apr 18, 2023 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Jun 18, 2024 Accepting new patients
Progressive Pain Management Inc CurrentSince Aug 1, 2023 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Hope Diabetes Center, LLC CurrentSince Aug 1, 2023 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Jun 18, 2024 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Apr 18, 2023 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

14804 N Cave Creek Rd
#200
Phoenix, AZ 85032
Phone (480) 240-5613

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

14418 W Meeker Blvd
Ste B205
Sun City West, AZ 85375
Phone (623) 546-4960

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1982391058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S 104TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531382",
            "telephone_number": "623-399-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755284",
            "telephone_number": "623-876-3800",
            "fax_number": "623-546-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "NADEZHDA",
        "middle_name": "IVANOVNA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "290672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "290672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.