Rebecca Koiti Nabosa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

276726 Issued in AZ

Practice address

4441 W Vervain Ave
Queen Creek, AZ 85142-1376

Phone

(515) 664-4875

NPI assigned

Nov 2, 2022

Last updated

Nov 2, 2022By 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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heartland Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1831896323
  Medicare reassignment NPD Authorized official
• Spectrum Healthcare Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cottonwood, AZ
  • NPI 1487635389

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Spectrum Healthcare Group, Inc

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1053834218
  NPD
• Spectrum Healthcare Group, Inc

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1912614413

  Psychiatric/Mental Health

  NPD
• Spectrum Healthcare Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1831811850

  Psychiatric/Mental Health

  NPD
• Arizona Total Care LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1255228433
  NPD (past)
• U2Rworthit1 LLC

  • Primary Care Nurse Practitioner
  • Tucson, AZ
  • NPI 1265187900
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1558078220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 W VERVAIN AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421376",
            "telephone_number": "515-664-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 W VERVAIN AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421376",
            "telephone_number": "515-664-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABOSA",
        "first_name": "REBECCA",
        "middle_name": "KOITI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "276726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markie Ann Munoz
• Natalie Rebecca Myers, RN
• Scott Alan Myers, D.P.T
• Myeyedr Optometry of Washington, PLLC
• Myeyedr Optometry of Washington, PLLC
• Suzy Zamora Najera, LISAC, LPC
• Alexandra Jordan Nance, CF-SLP
• Nathan Russell, MD, PLLC
• National Birth Centers Inc
• Nationwide Optometry P.C. (Nationwide Vision)

• Psychiatric/Mental Health Nurse Practitioner in Queen Creek, AZ
• Providers in Queen Creek, 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 Nov 2, 2022; 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.

Verify at the official NPI Registry.