Individual provider Active NPI

Eliza Sabo, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1174363238
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
227997 Issued in AZ
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

Updated by the provider on May 28, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
227997AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alevea Mental Health LLC Psychiatric/Mental Health PastSince Oct 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eliza.sabo.p1@direct.crossroads.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCDDD/Endpoint/FGCDDD
  • FHIR API: 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

Verify at the official NPI Registry.