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Rochelle Anderson

Contractor β€’ Phoenix, AZ

Active NPI 1588094445 Individual Practitioner Female Practitioner
Practice location in NPPES

3118 W T Ryan Ln
Phoenix, AZ 850415216

Call 6026216337 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3118 W T Ryan Ln

Phoenix, AZ 850415216

Telephone 6026216337
Fax 6026017727
Organization at the Same NPPES Address or Phone
Summerhaven Assisted Living Home Llc Facility NPI 1679088504

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tolleson, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

50 active clinicians are listed under Contractor with a practice address in Phoenix, AZ (333 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

License # reported to NPPES AZ AL10582F

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Contractor

NUCC Taxonomy Code: 171W00000X

License # reported to NPPES AZ AL9669H

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Irs
82-2200444 (AZ)

Secondary Practice Locations

9928 W Marguerite Ave

Tolleson, AZ 853534412

Phone: 6026216337

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 05, 2017

Registered at 3118 W T RYAN LN, PHOENIX, AZ 850415216 (Tel: 6026216337)

πŸ“
Updated Business Mailing Address December 05, 2017

Registered at 3118 W T RYAN LN, PHOENIX, AZ 850415216 (Tel: 6026216337)

πŸ‘€
Provider Name / Credentials Updated December 05, 2017

Recorded as ROCHELLE ANDERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Contractor (license number reported to NPPES: AZ AL9669H)

βœ…
NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2015

Registered at 9928 W MARGUERITE AVE, TOLLESON, AZ 853534412 (Tel: 6026216337)

πŸ“
Business Mailing Address (Initial Record) September 14, 2015

Registered at 9928 W MARGUERITE AVE, TOLLESON, AZ 853534412 (Tel: 6026216337)

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2015

Recorded as ROCHELLE HARRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Contractor (license number reported to NPPES: AZ AL9669H)

🟒
Initial NPI Registration & Enumeration November 13, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588094445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2013
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

3118 W T Ryan Ln

Phoenix, AZ 850415216

Phone: 6026216337

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.