Individual provider Active NPI

Christine S Bohannan, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1992336119
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
238854 Issued in AZ
Practice address
9305 W Thomas Rd Ste 465
Phoenix, AZ 85037-3357
Phone
(480) 745-3547
Fax
(480) 745-3548
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 238854 AZ Primary
Family Medicine Physician 207Q00000X 178842 AZ

Addresses

Primary practice location

9305 W Thomas Rd Ste 465
Phoenix, AZ 85037-3357

Mailing address

9305 W Thomas Rd Ste 465
Phoenix, AZ 85037-3357
Phone (480) 745-3547

Other practice location 1

3075 N Windsong Dr
Prescott Valley, AZ 86314-1208
Phone (928) 350-8780

Other practice location 2

9746 N 90th Pl Ste 207
Scottsdale, AZ 85258-5085
Phone (480) 668-3599

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
I20200526001731 AZ Practitioner - Nurse Practitioner 9931520145 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yavapai Primary CareGroup PAC ID 6305275504, 9 clinicians
TMS Institute of Arizona LLCGroup PAC ID 8729491527, 4 clinicians

Practice addresses (Care Compare)

3075 N Windsong Dr
Suite B1
Prescott Valley, AZ 86314-1208
Phone (928) 535-0878

9746 N 90TH PL
Suite 207
Scottsdale, AZ 85258-5085
Phone (480) 668-3599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178842AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yavapai Primary Care Family Medicine CurrentSince Mar 30, 2026 Accepting new patients
Phoenix Neurology and Sleep Medicine PLLC CurrentSince May 8, 2025 Accepting new patients
Moblie Health Care Solutions, LLC Past Accepting new patients

Locations

20100 N 51st Ave
Ste F640
Glendale, AZ 85308
Phone (623) 521-5867

2940 N Litchfield Rd
Goodyear, AZ 85395
Phone 6235350050112

9305 W Thomas Rd
Ste 465
Phoenix, AZ 85037
Phone (480) 282-6567

3075 N Windsong Dr
Ste B1
Prescott Vly, AZ 86314
Phone (928) 775-8750

3075 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 350-8780

Organizations & group practices 5

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1992336119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 465",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373357",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 465",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373357",
            "telephone_number": "480-745-3547",
            "fax_number": "480-745-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141208",
            "country_code": "US",
            "telephone_number": "928-350-8780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9746 N 90th Pl Ste 207",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585085",
            "country_code": "US",
            "telephone_number": "480-668-3599",
            "fax_number": "480-668-3262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHANNAN",
        "first_name": "CHRISTINE",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "238854",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "178842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.