Ayat Nabeel Rassas, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308689 Issued in AZ

Practice address

750 N Estrella Pkwy Ste 40
Goodyear, AZ 85338-9279

Phone

(623) 889-3477

Fax

(623) 889-3478

NPI assigned

Jun 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthy Life Family Medicine PLCGroup PAC ID 4183717804, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Healthy Life Family Medicine, PLC

  • Primary Care Clinic/Center
  • Goodyear, AZ
  • NPI 1750416400
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1982446266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380603",
            "telephone_number": "623-889-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY STE 40",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389279",
            "telephone_number": "623-889-3477",
            "fax_number": "623-889-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSAS",
        "first_name": "AYAT",
        "middle_name": "NABEEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "308689",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "308689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Rakoczynski, P.T.A.
• Rama K Muddaraj MD PC
• Kari Suzanne Rambo, M.N.S., CCC-SLP
• Aushrielle Rankin
• Simon Rapacz, FNP-C
• Jenette Denise Ratliff, RN, BSN
• Samantha Ray
• Marina Mary Reade, FNP
• Red Mountain Dermatology LLC
• Cynthia Dianne Reed, D.O.

• Adult Health Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.