Stephanie Garza
Individual provider Active NPI Family Nurse Practitioner · Chandler, AZ
NPI 1265080477 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1265080477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 231689 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
5980 S Cooper Rd
Suite 1
Chandler, AZ 85249-5394
Phone (480) 704-3474
Hospital & facility affiliations
- Dignity Health at Home
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191119002232 | AZ | Practitioner - Nurse Practitioner | 5698107217 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231689 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paper Cranes Healthcare LLC | Current |
Accepting new patients | |
| American Vascular Specialists LLC | Past |
Accepting new patients |
Locations
5980 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 927-3813
5980 S Cooper Rd
Ste 1
Chandler, AZ 85249
Phone (480) 704-3474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 231689 | AZ | Yes |
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
Other providers in Chandler, AZ
- Mark Paul Garrett
- Robert Bruce Garrett
- Jaime Garrido
- Jolie Lorin Garth
- Nichole Rose Gary
- Zoe Garza
- Michael Gasbarro
- William A Gaspar
- Alexis Gaspard
- Donald Gass
All providers in Chandler, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.