Active NPI
Elizabeth Ruiz
- Primary Care Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 363L00000X
- Practice address
- 2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245 - Phone
- (855) 828-7226
- Fax
- (562) 285-9494
- NPI assigned
- Nov 14, 2013
- Last updated
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 363L00000X | AZ | Primary |
Addresses
Primary practice location
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Mailing address
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone (855) 828-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1113013 | Other | AZ | AANP CERTIFICATION NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363L00000X | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Community Intervention Assciates, Inc | Current | Accepting new patients | |
| Community Intervention Associates, Inc. | Current | Accepting new patients | |
| Afc Physical Medicine of Gilbert, PLLC | Current | Accepting new patients | |
| Community Intervention Associates | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
3011 S Lindsay Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 726-2500
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
1839 S Alma School Rd
Ste 354
Mesa, AZ 85210
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 455-7444
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436
Interoperability endpoints
- elizabeth.ruiz.1@30710.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1528345881
-
dba Community Intervention Associates
- Community/Behavioral Health Agency
- Bisbee, AZ
- NPI 1518250620
-
dba Communitiy Health Associates
- Community/Behavioral Health Agency
- Parker, AZ
- NPI 1144961152
-
dba Community Health Associates
- Community/Behavioral Health Agency
- Yuma, AZ
- NPI 1639287667
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1477983229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 E CAMELBACK RD STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164245",
"telephone_number": "855-828-7226",
"fax_number": "562-285-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 E CAMELBACK RD STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164245",
"telephone_number": "855-828-7226",
"fax_number": "562-285-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2023-09-15",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "363L00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERTIFICATION NUMBER",
"identifier": "F1113013",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.