Active NPI
Rose Lopez, NP
- Psychiatric/Mental Health Nurse Practitioner
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 309644
- Practice address
- 824 N 99TH Ave
Avondale, AZ 85323-5324 - Phone
- (602) 818-3980
- NPI assigned
- Jul 8, 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 | 309644 | AZ | Primary |
Addresses
Primary practice location
824 N 99TH Ave
Avondale, AZ 85323-5324
Mailing address
PO Box 552
Tolleson, AZ 85353-0552
Phone (602) 818-3980
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 |
|---|---|---|---|---|
| I20250121003664 | AZ | Practitioner - Nurse Practitioner | 7315476389 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Bridges Inc
Practice addresses (Care Compare)
824 N 99TH Ave
Suite 109
Avondale, AZ 85323-5327
Phone (623) 907-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309644 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients |
Locations
824 N 99th Ave
Ste 109
Avondale, AZ 85323
Phone (623) 907-1457
824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457
675 E Cottonwood Ln
Ste 140
Casa Grande, AZ 85122
Phone (520) 426-0088
358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180
554 S Bellview
Rm B
Mesa, AZ 85204
Phone (480) 649-1141
358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180
460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550
560 S Bellview
Rm B
Mesa, AZ 85204
Phone (480) 962-7711
1855 W Baseline Rd
Ste 101
Mesa, AZ 85202
560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711
2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999
2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008
2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999
1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325
250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212
250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312
2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863
250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312
3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335
Interoperability endpoints
- rose.lopezbht.p1@direct.cbridges.nextgenshare.com
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1508124488
-
- Adult Mental Health Clinic/Center
- Washington, DC
- NPI 1285321158
-
- Mental Illness Community Based Residential Treatment Facility
- Yuma, AZ
- NPI 1861722175
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1427596196
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1588348775
-
- Substance Abuse Rehabilitation Facility
- Tucson, AZ
- NPI 1912445669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1235975400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 552",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853530552",
"telephone_number": "602-818-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N 99TH AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853235324",
"telephone_number": "602-818-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROSE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "309644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.