Individual provider Active NPI

Stephanie Garza

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1265080477
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231689 Issued in AZ
Practice address
5980 S Cooper Rd Ste 1
Chandler, AZ 85249-5394
Phone
(480) 704-3474
Fax
(888) 221-2541
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 231689 AZ Primary

Addresses

Primary practice location

5980 S Cooper Rd Ste 1
Chandler, AZ 85249-5394

Mailing address

5980 S Cooper Rd Ste 4
Chandler, AZ 85249-5394
Phone (480) 705-7300

Other practice location 1

20185 E Ocotillo Rd
Queen Creek, AZ 85142-7663
Phone (480) 704-3474

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
I20191119002232 AZ Practitioner - Nurse Practitioner 5698107217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paper Cranes Healthcare LLCGroup PAC ID 2668769589, 8 clinicians

Practice addresses (Care Compare)

5980 S Cooper Rd
Suite 1
Chandler, AZ 85249-5394
Phone (480) 704-3474

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paper Cranes Healthcare LLC CurrentSince Oct 1, 2019 Accepting new patients
American Vascular Specialists LLC PastSince Sep 1, 2019 Accepting new patients

Locations

5980 S Cooper Rd
Ste 1
Chandler, AZ 85249
Phone (480) 704-3474

5980 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 927-3813

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1265080477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 S COOPER RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495394",
            "telephone_number": "480-705-7300",
            "fax_number": "800-530-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S COOPER RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495394",
            "telephone_number": "480-704-3474",
            "fax_number": "888-221-2541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20185 E Ocotillo Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851427663",
            "country_code": "US",
            "telephone_number": "480-704-3474",
            "fax_number": "888-221-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "231689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.