Angela J Cabrera, CRNP (PNP-PC)

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP4113 Issued in AZ

Practice address

1432 S Dobson Rd Ste 403
Mesa, AZ 85202-4777

Phone

(480) 412-7718

Fax

(480) 412-7750

NPI assigned

Feb 20, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: denova.angelacabrera@141317.advancedmd-direct.com

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.

• Chrysalis Children's Clinic, PLLC

  • Pediatric Nurse Practitioner
  • Tempe, AZ
  • NPI 1982315529

  Pediatrics

  NPD Authorized official
• Bethesda Pediatrics of Queen Creek

  dba Pediatrics of Queen Creek

  • Pediatrics Physician
  • Queen Creek, AZ
  • NPI 1063727766
  NPD (past)
• Coolidge Pediatrics

  • Pediatrics Physician
  • Coolidge, AZ
  • NPI 1700373180
  NPD (past)
• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1710283593
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1245375955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087109",
            "telephone_number": "623-561-5437",
            "fax_number": "623-561-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 403",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024777",
            "telephone_number": "480-412-7718",
            "fax_number": "480-412-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CRNP (PNP-PC)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP4113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "1432 S Dobson Rd Ste 403",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852024777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• C.B.O Hearing (Beltone Hearing center)
• C.B.O Hearing (Beltone Hearing center)
• Mariela Caballero Hernandez
• Idenise Cabanas, P.A.-C
• Cabital Medical Trans
• Tammy W Cabrera, LCSW
• Joan Cacciola, FNP
• Cactus Bloom Studio (Cactus Bloom Wellness)
• Cactus Cardiac Care
• Cactus Care Transportation

• Pediatric Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.