Individual provider Active NPI

Emily Amanda De la Torre, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1124894530
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296166 Issued in AZ
Practice address
70 S Val Vista Dr Ste A3-506
Gilbert, AZ 85296-0938
Phone
(915) 276-8259
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 296166 AZ Primary

Addresses

Primary practice location

70 S Val Vista Dr Ste A3-506
Gilbert, AZ 85296-0938

Mailing address

70 S Val Vista Dr Ste A3-506
Gilbert, AZ 85296-0938
Phone (915) 276-8259

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
I20240418001723 AZ Practitioner - Nurse Practitioner 6608215017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clin-Path Pathology 30 clinicians
Phoenix Neurological Institute, Inc 20 clinicians

Practice addresses (Care Compare)

2109 S 48TH St
Suite 102
Tempe, AZ 85282-1018
Phone (602) 685-5166

3336 E Chandler Heights Rd
Gilbert, AZ 85298-4259
Phone (480) 444-7480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Neurological Institute, Inc CurrentSince Jun 1, 2024 Accepting new patients
Clin-Path Pathology CurrentSince May 20, 2026 Accepting new patients
Laser Surgery Holding Company, LTD Past Accepting new patients

Locations

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

201 W Guadalupe Rd
Ste 310
Gilbert, AZ 85233
Phone (480) 813-0944

3336 E Chandler Heights Rd
Gilbert, AZ 85298
Phone (480) 813-3636

201 W Guadalupe Rd
Ste 310B
Gilbert, AZ 85233
Phone (719) 568-1778

606 N Country Club Dr
Mesa, AZ 85201
Phone (602) 969-3511

10720 E Southern Ave
Ste 117
Mesa, AZ 85209

606 N Country Club Dr
Ste 4
Mesa, AZ 85201
Phone (480) 444-7472

10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003

2226 W Northern Ave
Ste C212
Phoenix, AZ 85021
Phone (480) 444-7491

2109 S 48th St
Ste 102
Tempe, AZ 85282
Phone (602) 424-2889

Organizations & group practices 3

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124894530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-506",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960938",
            "telephone_number": "915-276-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-506",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960938",
            "telephone_number": "915-276-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "EMILY",
        "middle_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.