NPIMap

Organization Active NPI

Embry Womens Health LLC

  • Women's Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1316356207
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP0240 Issued in AZ
Legal business name
EMBRY WOMENS HEALTH LLC
Practice address
2204 S Dobson Road
Suite 203
Mesa, AZ 85202
Phone
(480) 376-2170
Fax
(480) 699-0056
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Ms. Joellen B Embry, WHNPNPI 1083703045
Title
Provider
Phone
(480) 376-2170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X AP0240 AZ
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X AP0240 AZ Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X AP0240 AZ

Addresses

Primary practice location

2204 S Dobson Road
Suite 203
Mesa, AZ 85202

Mailing address

2204 S Dobson Road
Suite 203
Mesa, AZ 85202
Phone (480) 376-2170

National Provider Directory

National Provider Directory

Locations

2204 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 376-2170

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9567/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1316356207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON ROAD",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-376-2170",
            "fax_number": "480-699-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON ROAD",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-376-2170",
            "fax_number": "480-699-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "JOELLEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-376-2170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "WHNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP0240",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP0240",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP0240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.