Erendira Johana Degante

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

273154 Issued in AZ

Practice address

1510 E Flower St
Phoenix, AZ 85014-5698

Phone

(602) 530-6900

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

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 2

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

• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921
  Medicare reassignment NPD
• Monogram Health Professional Services of Colorado, PC

  • Nephrology Physician
  • Denver, CO
  • NPI 1023733359

  Nurse Practitioner

  Medicare reassignment NPD
• Williams Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1932203676
  NPD
• Afcc Medical Center LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1538941166
  NPD (past)
• Arizona Family Clinics Corp

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1588370134
  NPD (past)
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)
• St. Luke's Pediatrics

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1306078514
  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1992445365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-530-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145698",
            "telephone_number": "602-530-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGANTE",
        "first_name": "ERENDIRA",
        "middle_name": "JOHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "273154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Adam Defelice, D.D.S.
• Hilda Margaret Defoe, FNP-C
• Defonse Family Restoration LLC
• Closel Defonse
• Jennifer Degain, PMHNP-BC
• Jim Degiuli, L.AC.
• Elizabeth Degnan, FNP-C
• Vinessa Degon, RN
• Chanelle Yvette Degraff, CNS
• Regina A Degraw, LCSW

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.