Individual provider Active NPI

Rebecca Landon, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1508428368
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
228548 Issued in AZ
Practice address
1338 W Forest Meadows St Ste 140
Flagstaff, AZ 86001-7226
Phone
(480) 282-8336
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 228548 AZ Primary

Addresses

Primary practice location

1338 W Forest Meadows St Ste 140
Flagstaff, AZ 86001-7226

Mailing address

333 N Dobson Rd Ste 15
Chandler, AZ 85224-4412
Phone (480) 282-8336

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
I20190814000892 AZ Practitioner - Nurse Practitioner 4385971365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Mental Health LLCGroup PAC ID 5193174746, 9 clinicians

Practice addresses (Care Compare)

2195 E River Rd
Suite 105
Tucson, AZ 85718-6586
Phone (520) 524-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mental Health LLC Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Allergy Asthma Associates PC Past Accepting new patients

Locations

2500 S Power Rd
Ste 224
Mesa, AZ 85209
Phone 4808709014 ext. 09014

4737 N 1st Ave
Tucson, AZ 85718
Phone (520) 524-6565

1735 E Fort Lowell Rd
Ste 5
Tucson, AZ 85719
Phone (520) 447-9796

2195 E River Rd
Ste 105
Tucson, AZ 85718
Phone (520) 524-6565

Interoperability endpoints

  • Direct secure messaging: sunrisementalhealth.rebeccalandon@155822.advancedmd-direct.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1508428368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD STE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-282-8336",
            "fax_number": "480-282-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 W FOREST MEADOWS ST STE 140",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017226",
            "telephone_number": "480-282-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDON",
        "first_name": "REBECCA",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "228548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.