Active NPI
Eliza Sabo, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1174363238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 227997
- Practice address
- 2969 S Bates LN
Gilbert, AZ 85295-7232 - Phone
- (623) 500-9419
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 227997 | AZ | Primary |
Addresses
Primary practice location
2969 S Bates LN
Gilbert, AZ 85295-7232
Mailing address
2969 S Bates LN
Gilbert, AZ 85295-7232
Phone (623) 500-9419
Other practice location 1
16515 S 40th St Ste 119
Phoenix, AZ 85048-0559
Phone (480) 272-8450
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906001110 | AZ | Practitioner - Nurse Practitioner | 1355881285 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16515 S 40TH St
Suite 119
Phoenix, AZ 85048-0559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227997 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alevea Mental Health LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Interoperability endpoints
- eliza.sabo.p1@direct.crossroads.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/FGCDDD/Endpoint/FGCDDD
- https://fhir4.healow.com/fhir/r4/FGCDDD
Organizations & group practices 1
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": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1174363238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2969 S BATES LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957232",
"telephone_number": "623-500-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2969 S BATES LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957232",
"telephone_number": "623-500-9419"
}
],
"practiceLocations": [
{
"address_1": "16515 S 40th St Ste 119",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850480559",
"country_code": "US",
"telephone_number": "480-272-8450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABO",
"first_name": "ELIZA",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "227997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.