Individual provider Active NPI

Angela Denise Meadors, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1497542807
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
331463 Issued in AZ
Practice address
2770 E Van Buren St
Phoenix, AZ 85008-6088
Phone
(602) 273-9999
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 Practitioner 363LP0808X 37614 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 331463 AZ Primary

Addresses

Primary practice location

2770 E Van Buren St
Phoenix, AZ 85008-6088

Mailing address

14518 Saint Charles Dr
Olive Branch, MS 38654-2067
Phone (901) 677-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250912000096 TN Practitioner - Nurse Practitioner 9931602224 Reassigns benefits to 1 organization
I20260109001245 AR Practitioner - Nurse Practitioner 9931602224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Healthcare ServicesGroup PAC ID 4082766621, 28 clinicians
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Practice addresses (Care Compare)

2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440

2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 972-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37614TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Minds Pmhnp, PLLC Psychiatric/Mental Health CurrentSince Apr 27, 2025 Accepting new patients
Alliance Healthcare Services CurrentSince Jul 28, 2025 Accepting new patients
St Bernards Hospital Inc. CurrentSince Dec 10, 2025 Accepting new patients
St. Bernards Hospital, Inc CurrentSince Dec 10, 2025 Accepting new patients
Alliance Healthcare Services CurrentSince Jul 28, 2025 Accepting new patients

Locations

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

Organizations & group practices 5

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": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1497542807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14518 SAINT CHARLES DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542067",
            "telephone_number": "901-677-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086088",
            "telephone_number": "602-273-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "37614",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "331463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.