Individual provider Active NPI

Amber Valerie Leonhardt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1073142386
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP240107 Issued in AZ
Practice address
3271 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8511
Phone
(480) 550-3193
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP240107 AZ Primary

Addresses

Primary practice location

3271 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8511

Mailing address

3832 E Pueblo Ave
Mesa, AZ 85206-1838
Phone (480) 310-2924

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
I20200611000935 AZ Practitioner - Nurse Practitioner 0840611224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNP240107AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Health, Inc. CurrentSince Jun 24, 2020 Accepting new patients
Advantage ADHD & Psychiatry Services Current Accepting new patients
Resilient Health, Inc. CurrentSince Jun 24, 2020 Accepting new patients
Resilient Health, Inc. Current Accepting new patients
Resilient Health, Inc. Past Accepting new patients
Resilient Health, Inc. PastSince Aug 1, 2022 Accepting new patients
Resilient Health, Inc. Past Accepting new patients

Locations

3271 E Queen Creek Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 550-3193

2255 W Northern Ave
Ste B100
Phoenix, AZ 85021

2255 W Northern Ave
Phoenix, AZ 85021
Phone (602) 242-1238

1415 N 1st St
Phoenix, AZ 85004
Phone (602) 302-7815

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1073142386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 E PUEBLO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061838",
            "telephone_number": "480-310-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 E QUEEN CREEK RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978511",
            "telephone_number": "480-550-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "AMBER",
        "middle_name": "VALERIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP240107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.