Individual provider Active NPI

Elizabeth Ruiz

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1477983229
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
363L00000X Issued in AZ
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F1113013OtherAZAANP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423002407 AZ Practitioner - Nurse Practitioner 5496988636 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363L00000XAZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Dec 4, 2017 Accepting new patients
Nextcare Arizona LLC CurrentSince Apr 8, 2016 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Community Intervention Assciates, Inc CurrentSince Mar 1, 2018 Accepting new patients
Community Intervention Associates, Inc. Current Accepting new patients
Afc Physical Medicine of Gilbert, PLLC CurrentSince Mar 1, 2014 Accepting new patients
Community Intervention Associates CurrentSince Mar 1, 2018 Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 4, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.