Individual provider Active NPI

Angelica Badillo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rio Rico, AZ
National Provider Identifier
1407195696
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
331215 Issued in AZ
Practice address
1374 W Frontage Rd
Rio Rico, AZ 85648-6377
Phone
(520) 375-8600
Fax
(520) 375-8690
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 331215 AZ Primary
School Registered Nurse 163WS0200X RN170757 AZ

Addresses

Primary practice location

1374 W Frontage Rd
Rio Rico, AZ 85648-6377

Mailing address

208 Paseo Tamex
Rio Rico, AZ 85648-1041
Phone (520) 860-0262

Other practice location 1

3161 S Prosperous Pl
Green Valley, AZ 85614-6403
Phone (520) 399-7596

Other names 1

  • Angie Valdez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN170757AZMDSchool Registered Nurse
331215AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1407195696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PASEO TAMEX",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856481041",
            "telephone_number": "520-860-0262",
            "fax_number": "520-375-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 W FRONTAGE RD",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856486377",
            "telephone_number": "520-375-8600",
            "fax_number": "520-375-8690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3161 S Prosperous Pl",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856146403",
            "country_code": "US",
            "telephone_number": "520-399-7596",
            "fax_number": "512-423-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "ANGELICA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "331215",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN170757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "VALDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rio Rico, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.