Individual provider Active NPI

Nancy Cecile Erdmann, DNP, FNP-BC

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1194848002
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN056102 Issued in AZ
Practice address
1968 E Baseline Rd # F101
F-101
Tempe, AZ 85283-1531
Phone
(480) 497-1298
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN056102 AZ Primary

Addresses

Primary practice location

1968 E Baseline Rd # F101
F-101
Tempe, AZ 85283-1531

Mailing address

1968 E Baseline Rd
Tempe, AZ 85283-1531
Phone (480) 775-4110

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
I20131104000906 AZ Practitioner - Nurse Practitioner 7618102435 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN056102AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahodas PLLC CurrentSince Oct 5, 2016 Accepting new patients

Locations

1720 E Boston St
Ste 101
Gilbert, AZ 85295

1720 E Boston St
Gilbert, AZ 85295
Phone (281) 846-5587

10238 E Hampton Ave
Ste 202
Mesa, AZ 85209
Phone (480) 399-2002

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1194848002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831531",
            "telephone_number": "480-775-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 E BASELINE RD # F101",
            "address_2": "F-101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831531",
            "telephone_number": "480-497-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMANN",
        "first_name": "NANCY",
        "middle_name": "CECILE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN056102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.