Individual provider Active NPI

Ronie Ronke Emmanuel

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1245074848
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
308289 Issued in AZ
Practice address
358 E Javelina Ave Ste 101
Mesa, AZ 85210-6205
Phone
(480) 507-3180
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11033280 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 308289 AZ Primary

Addresses

Primary practice location

358 E Javelina Ave Ste 101
Mesa, AZ 85210-6205

Mailing address

358 E Javelina Ave Ste 101
Mesa, AZ 85210-6205
Phone (480) 507-3180

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
I20251016002501 AZ Practitioner - Nurse Practitioner 3375030950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges Inc 106 clinicians

Practice addresses (Care Compare)

358 E Javelina Ave
Suite 101
Mesa, AZ 85210-6205
Phone (480) 507-3180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308289AZMDPsychiatric/Mental Health Nurse Practitioner
11033280FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Single Specialty Current Accepting new patients
Community Bridges, Inc. Single Specialty Current Accepting new patients
Community Bridges, Inc. CurrentSince Jul 18, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Jul 18, 2025 Accepting new patients
Community Bridges, Inc Single Specialty Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: ronie.emmanuelbht.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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1245074848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E JAVELINA AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106205",
            "telephone_number": "480-507-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E JAVELINA AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106205",
            "telephone_number": "480-507-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "RONIE",
        "middle_name": "RONKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033280",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "308289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.