Individual provider Active NPI

Isin Santos, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laveen, AZ
National Provider Identifier
1134817448
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
223837 Issued in AZ
Practice address
7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239
Phone
(602) 358-7073
Fax
(888) 927-0409
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 223837 AZ Primary

Addresses

Primary practice location

7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239

Mailing address

8211 S 42ND Dr
Laveen, AZ 85339-2554
Phone (602) 710-8303

Other practice location 1

8211 S 42nd Dr
Laveen, AZ 85339-2554
Phone (602) 710-8303

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
I20230530002047 AZ Practitioner - Nurse Practitioner 1153788542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southwest Behavioral Health Services IncGroup PAC ID 9739075854, 49 clinicians

Practice addresses (Care Compare)

2580 Hway
95 Suite 120
Bullhead City, AZ 86442-7328
Phone (928) 763-7776

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Teris Health Services LLC Psychiatric/Mental Health CurrentSince May 22, 2023 Accepting new patients
Leading Healthcare Specialist PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Teri'S Health Services CurrentSince May 22, 2023 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Southwest Behavioral Health CurrentSince Dec 1, 2023 Accepting new patients
Leading Healthcare, LLC Past Accepting new patients

Locations

2580 Highway 95
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7776

6635 W Happy Valley Rd
Ste A104621
Glendale, AZ 85310

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

7205 S 51st Ave
Ste 203
Laveen, AZ 85339
Phone (602) 358-7073

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

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

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

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1134817448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 S 42ND DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392554",
            "telephone_number": "602-710-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 S 51ST AVE STE 203",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397239",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8211 S 42nd Dr",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853392554",
            "country_code": "US",
            "telephone_number": "602-710-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ISIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "223837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.