Individual provider Active NPI

Marsha A Perry-Nagamoto, NP

  • Women's Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1982820510
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP7016 Issued in AZ
Practice address
1950 W Frye Rd
Building B
Chandler, AZ 85224-6237
Phone
(480) 895-9555
Fax
(480) 895-9555
NPI assigned
Apr 18, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN054682 AZ
Women's Health Nurse Practitioner 363LW0102X AP7016 AZ Primary

Addresses

Primary practice location

1950 W Frye Rd
Building B
Chandler, AZ 85224-6237

Mailing address

1950 W Frye Rd
Building B
Chandler, AZ 85224-6237
Phone (480) 895-9555

Other practice location 1

4545 E Chandler Blvd Ste 208
Phoenix, AZ 85048-7645
Phone (480) 961-2330

Other practice location 2

1900 W Frye Rd
Chandler, AZ 85224-6235
Phone (480) 895-9555

Other practice location 3

3420 S Mercy Rd Ste 221
Gilbert, AZ 85297-0424
Phone (480) 895-9555

Other practice location 4

1187 E Cottonwood Ln Ste 1
Casa Grande, AZ 85122-2957
Phone (520) 836-1000

Other practice location 5

1187 E Cottonwood Ln Ste 1
Casa Grande, AZ 85122-2957
Phone (520) 836-1000

Other practice location 6

1187 E Cottonwood Ln Ste B
Casa Grande, AZ 85122-2957
Phone (520) 836-1000

Other identifiers 1

IdentifierTypeStateIssuer
052626MedicaidAZ

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7016AZMDWomen's Health Nurse Practitioner
RN054682AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB/GYN Affiliates PC PastSince Jul 24, 2022 Accepting new patients
Robert S. Gerson MD PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982820510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W FRYE RD",
            "address_2": "BUILDING B",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246237",
            "telephone_number": "480-895-9555",
            "fax_number": "480-802-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W FRYE RD",
            "address_2": "BUILDING B",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246237",
            "telephone_number": "480-895-9555",
            "fax_number": "480-895-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 E Chandler Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487645",
            "country_code": "US",
            "telephone_number": "480-961-2330",
            "fax_number": "480-961-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246235",
            "country_code": "US",
            "telephone_number": "480-895-9555",
            "fax_number": "480-895-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 S Mercy Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970424",
            "country_code": "US",
            "telephone_number": "480-895-9555",
            "fax_number": "480-895-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1187 E Cottonwood Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222957",
            "country_code": "US",
            "telephone_number": "520-836-1000",
            "fax_number": "520-836-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1187 E Cottonwood Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222957",
            "country_code": "US",
            "telephone_number": "520-836-1000",
            "fax_number": "520-836-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1187 E Cottonwood Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222957",
            "country_code": "US",
            "telephone_number": "520-836-1000",
            "fax_number": "520-836-6515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY-NAGAMOTO",
        "first_name": "MARSHA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN054682",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP7016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052626",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.