Joellen Beard Embry, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP7036 Issued in AZ

Practice address

2204 S Dobson Rd Ste 203
Mesa, AZ 85202

Phone

(480) 376-2170

Fax

(480) 699-0056

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9567/brand/2/csg/1/fhir/r4

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.

• Embry Womens Health LLC

  • Women's Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1316356207
  NPD Authorized official
• Dose Wellness LLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1518746064
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1083703045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N HAYDEN RD # 123-215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516632",
            "telephone_number": "480-376-2170",
            "fax_number": "480-376-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-376-2170",
            "fax_number": "480-699-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "JOELLEN",
        "middle_name": "BEARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN053123",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN053123",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP7036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "AP7036",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431130",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Embraceable Az LLC
• Embree DDS PLLC
• Breanna R Embree, DDS
• Embry Testing and Vaccine Services of Florida LLC
• Embry Womens Health LLC
• David Emenhiser, LISAC, CADAC
• Emerald Glen Memory Care Plus
• Emergency & Acute Care Medical Company - Az
• Emergency & Acute Care Medical Company - Az
• Emergency & Acute Care Medical Company - Az

• Women's Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.