Individual provider Active NPI

Emily Rae Lopez, NP

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1407513708
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
260247 Issued in AZ
Practice address
5980 S Cooper Rd
Chandler, AZ 85249-5394
Phone
(480) 704-3474
NPI assigned
Nov 21, 2021
Last updated
Nov 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 260247 AZ Primary

Addresses

Primary practice location

5980 S Cooper Rd
Chandler, AZ 85249-5394

Mailing address

1854 S Beverly
Mesa, AZ 85210-5981
Phone (160) 269-2893

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
I20220217001778 AZ Practitioner - Nurse Practitioner 5193118073 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physician Group PLLCGroup PAC ID 9830556463, 5 clinicians
East Valley Ep PLLCGroup PAC ID 4880081785, 15 clinicians

Practice addresses (Care Compare)

3050 S Dobson Rd
Chandler, AZ 85248-4906
Phone (480) 284-5867

5656 S Power Rd
Gilbert, AZ 85295-8491
Phone (602) 830-4911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260247AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physician Group, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Paper Cranes Healthcare LLC CurrentSince Nov 11, 2021 Accepting new patients
East Valley Ep, PLLC CurrentSince Jul 18, 2025 Accepting new patients

Locations

3050 S Dobson Rd
Chandler, AZ 85248
Phone (480) 284-5867

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

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

20185 E Ocotillo Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 888-2010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1407513708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 S BEVERLY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105981",
            "telephone_number": "160-269-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S COOPER RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495394",
            "telephone_number": "480-704-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EMILY",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "260247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.