Judith Ekblad, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10170 Issued in AZ

Practice address

10815 W McDowell Rd Ste 304
Avondale, AZ 85392-5016

Phone

(623) 251-7559

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Roomservice-DoctorcareGroup PAC ID 3870534811, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• True Promise Home Health Inc Home health agency, Scottsdale, AZ, CCN 037814
• Elevate Hospice and Palliative Care LLC Hospice, Scottsdale, AZ, CCN 031706

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• MD Roomservice-Doctorcare

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1437342557
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elevate Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
  • NPI 1871155531
  Care Compare affiliation
• True Promise Home Health Inc

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1508423179
  Care Compare affiliation

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194253559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD STE 304",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925016",
            "telephone_number": "623-251-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKBLAD",
        "first_name": "JUDITH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278816",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "Z205037",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lavonne Edwards
• Tahnisha L. Edwards
• Megan Effner
• Sharon L Egea, PHARMACIST
• Samantha Egebrecht
• Aliah Elbert
• Caleb Martin Elder, DPT
• Marissa Elder, OTR/L
• Paula Eldridge
• Elevate Behavioral Health Residential Facilities, LLC

• Family Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.