Individual provider Active NPI

Elisa Slosberg, FNP-BC

  • Family Nurse Practitioner
  • Clarkdale, AZ
National Provider Identifier
1346080744
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
307422 Issued in AZ
Practice address
1626 Beecher St
Clarkdale, AZ 86324-3021
Phone
(480) 910-6081
Fax
(480) 903-7445
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 307422 AZ Primary

Addresses

Primary practice location

1626 Beecher St
Clarkdale, AZ 86324-3021

Mailing address

14386 W Carlin Dr
Surprise, AZ 85374-4230
Phone (480) 910-6081

Other practice location 1

14386 W Carlin Dr
Surprise, AZ 85374-4230
Phone (480) 910-6081

Other identifiers 1

IdentifierTypeStateIssuer
202246MedicaidAZ

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
I20240730004670 AZ Practitioner - Nurse Practitioner 3072050780 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307422AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Sep 29, 2025 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 29, 2025 Accepting new patients
MH 7 LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

19841 N 27th Ave
Ste 101
Phoenix, AZ 85027
Phone (602) 439-1111

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1346080744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14386 W CARLIN DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744230",
            "telephone_number": "480-910-6081",
            "fax_number": "480-903-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 BEECHER ST",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243021",
            "telephone_number": "480-910-6081",
            "fax_number": "480-903-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14386 W Carlin Dr",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853744230",
            "country_code": "US",
            "telephone_number": "480-910-6081",
            "fax_number": "480-903-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOSBERG",
        "first_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "307422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkdale, AZ

Sources for this page

Verify at the official NPI Registry.