Active NPI
Emily Jose, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP4790
- Practice address
- 3450 N 3Rd St
Phoenix, AZ 85012-2331 - Phone
- (602) 285-4203
- NPI assigned
- Feb 6, 2013
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP4790 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP4790 | AZ | Primary |
Addresses
Primary practice location
3450 N 3Rd St
Phoenix, AZ 85012-2331
Mailing address
3450 N 3Rd St
Phoenix, AZ 85012-2331
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
809 Hancock Rd
Suite 1
Bullhead City, AZ 86442-5078
Phone (928) 763-7111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4790 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Southwest Behavioral Health Services Inc | Current | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Southwest Behavioral Health | Past | Accepting new patients | |
| Southwest Behavioral Health Services,Inc. | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
809 Hancock Rd
Ste 1
Bullhead City, AZ 86442
Phone (928) 763-7111
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
1515 E Cedar Ave
Flagstaff, AZ 86004
Phone (520) 779-5111
1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130
404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024
2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115
3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339
7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088
7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104
2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405
7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1144384389
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Psychiatric Residential Treatment Facility
- Kingman, AZ
- NPI 1023556339
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prescott Valley, AZ
- NPI 1578844726
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1023023603
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bullhead City, AZ
- NPI 1093942161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1043559438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122331",
"telephone_number": "602-285-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4790",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP4790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.