Active NPI
Despina Laloudakis, NP
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN089214
- Practice address
- 4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7639 - Phone
- (480) 961-2303
- Fax
- (480) 961-0419
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN089214 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7639
Mailing address
4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7639
Phone (480) 961-2303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2Z1482 | Other | AZ | HEALTHNET |
| 504086 | Medicaid | AZ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303
Hospital & facility affiliations
- Dignity Health at Home
- Chandler Regional Medical Center
- Honor Health John C. Lincoln Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN089214 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Internists of Ahwatukee, P.C. | Current | Accepting new patients | |
| Hospice of the Southwest, LLC | Past | Accepting new patients |
Locations
4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303
4530 E Muirwood Dr
Ste 105C
Phoenix, AZ 85048
10450 E Riggs Rd
Ste 103
Sun Lakes, AZ 85248
Phone (480) 895-2047
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1700853199
-
- Pain Medicine Physician
- Mesa, AZ
- NPI 1982971255
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- Home Health Agency
- Chandler, AZ
- NPI 1831678218
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1497727192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "SUITE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR",
"address_2": "SUITE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487639",
"telephone_number": "480-961-2303",
"fax_number": "480-961-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALOUDAKIS",
"first_name": "DESPINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN089214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Z1482",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504086",
"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 Jan 18, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.