Individual provider Active NPI

Yvonne A Tambe -Ebot, NP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1255890018
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220524 Issued in AZ
Practice address
551 N Scott Dr
Chandler, AZ 85225-4081
Phone
(480) 452-4297
NPI assigned
Mar 19, 2019
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220524 AZ Primary

Addresses

Primary practice location

551 N Scott Dr
Chandler, AZ 85225-4081

Mailing address

551 N Scott Dr
Chandler, AZ 85225-4081
Phone (480) 452-4297

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
I20190927002490 AZ Practitioner - Nurse Practitioner 2668702085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hassan Akinbiyi MD PLLCGroup PAC ID 0143562777, 2 clinicians

Practice addresses (Care Compare)

1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (480) 434-4356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220524AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hassan Akinbiyi MD PLLC CurrentSince Jul 9, 2019 Accepting new patients

Locations

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

4531 N 16th St
Ste 114
Phoenix, AZ 85016
Phone (602) 274-0078

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1255890018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N SCOTT DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254081",
            "telephone_number": "480-452-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N SCOTT DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254081",
            "telephone_number": "480-452-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBE -EBOT",
        "first_name": "YVONNE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.