Eleanor Eunice Tubat Edmilao

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

270856 Issued in AZ

Practice address

7553 N Summit Pass
Prescott Valley, AZ 86315-4598

Phone

(602) 531-1059

NPI assigned

Mar 2, 2022

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eleanor.edmilao.1@24259.direct.athenahealth.com

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.

• Simple Psychiatry and Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1265162895
  NPD Authorized official

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1548916356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7553 N SUMMIT PASS",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154598",
            "telephone_number": "602-531-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7553 N SUMMIT PASS",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154598",
            "telephone_number": "602-531-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMILAO",
        "first_name": "ELEANOR EUNICE",
        "middle_name": "TUBAT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "270856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B Dunn, M.S.
• Patricia L Dzenis
• E Z Sleep Lab (E Z Sleep Lab- Prescott Valley)
• Chelsey Earnhart, DNP, CPNP-PC
• Edenmd Wellness LLC
• Edward M. Reifman, DDS Inc
• Robert Lee Edwards III, LDO
• Stacey Margarette Edwards, SLPA
• Denise M Eldred, PT
• Elite Homecare Incorporated (SYNERGY HomeCare of Prescott)

• Psychiatric/Mental Health Nurse Practitioner in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.