Individual provider Active NPI

Mary Elizabeth Braham, ANPC

  • Adult Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1508176694
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP3650 Issued in AZ
Practice address
233 E Southern Ave
#24256
Tempe, AZ 85282-5189
Phone
(602) 329-0174
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP3650 AZ Primary

Addresses

Primary practice location

233 E Southern Ave
#24256
Tempe, AZ 85282-5189

Mailing address

201 W Guadalupe Rd
Gilbert, AZ 85233-3332
Phone (602) 329-0174

Other practice location 1

617 Benton St
Omak, WA 98841-9636
Phone (509) 422-7416

Other practice location 2

19 Lakes St
Nespelem, WA 99155
Phone (509) 634-2900

Other practice location 3

4 Siya Rd
Omak, WA 98841
Phone (509) 422-7416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20150417000595 AZ Practitioner - Nurse Practitioner 9638497944 Reassigns benefits to 3 organizations
I20211115000295 TX Practitioner - Nurse Practitioner 9638497944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

P O Box
Suite 760
Browning, MT 59417-0760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3650AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Apr 20, 2024 Accepting new patients
App of Southern Arizona HM LLC CurrentSince Nov 2, 2021 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Apr 20, 2024 Accepting new patients
Triad Pain Management Group, PLLC CurrentSince May 6, 2015 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Oct 22, 2018 Accepting new patients
Sheitelman Medical PLC CurrentSince Feb 2, 2015 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Oct 22, 2018 Accepting new patients
Sheitelman Chiropractic Inc Past Accepting new patients
Triad Chiropractic & Rehabilitation Clinics, LLC PastSince Jan 3, 2018 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

5331 S Superstition Mountain Dr
#C105
Queen Valley, AZ 85118
Phone (480) 413-0586

13757 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (623) 214-7600

4515 S McClintock Dr
Ste 120
Tempe, AZ 85282
Phone (480) 413-0586

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 10

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1508176694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "602-329-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SOUTHERN AVE",
            "address_2": "#24256",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825189",
            "telephone_number": "602-329-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Benton St",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "988419636",
            "country_code": "US",
            "telephone_number": "509-422-7416",
            "fax_number": "509-422-7712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Lakes St",
            "address_purpose": "LOCATION",
            "city": "Nespelem",
            "state": "WA",
            "postal_code": "99155",
            "country_code": "US",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Siya Rd",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "98841",
            "country_code": "US",
            "telephone_number": "509-422-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHAM",
        "first_name": "MARY ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ANPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.