Individual provider Active NPI

Hyangsook Lee Patel, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1174155089
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
234331 Issued in AZ
Practice address
9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455
Phone
(602) 362-2983
Fax
(480) 565-4552
NPI assigned
Feb 8, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 234331 AZ
Psychiatry Physician 2084P0800X 234331 AZ
Addiction Psychiatry Physician 2084P0802X 234331 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 234331 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455

Mailing address

9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455
Phone (602) 362-2983

Other practice location 1

5060 N 19th Ave Ste 102
Phoenix, AZ 85015-3211
Phone (602) 296-5540

Other identifiers 1

IdentifierTypeStateIssuer
234331OtherAZPHMNP

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
I20200506000819 AZ Practitioner - Nurse Practitioner 3476984535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TL Family Nurse Practice LLCGroup PAC ID 4880013846, 5 clinicians

Practice addresses (Care Compare)

3201 W Peoria Ave
Suite A105
Phoenix, AZ 85029-4609
Phone (602) 918-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
234331AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TL Family Nurse Practice LLC Current Accepting new patients
TL Family Nurse Practice LLC CurrentSince Jul 15, 2023 Accepting new patients

Locations

13055 W McDowell Rd
Ste E101
Avondale, AZ 85392
Phone (480) 515-0900

3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029
Phone (602) 841-9720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21538/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hyangsook.patel.1@21538.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1174155089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202455",
            "telephone_number": "602-362-2983",
            "fax_number": "480-565-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202455",
            "telephone_number": "602-362-2983",
            "fax_number": "480-565-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 N 19th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850153211",
            "country_code": "US",
            "telephone_number": "602-296-5540",
            "fax_number": "602-296-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HYANGSOOK",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AZ",
            "license": "234331",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "234331",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AZ",
            "license": "234331",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "234331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHMNP",
            "identifier": "234331",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.