Individual provider Active NPI

Edith Lao Gazo, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1629211479
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP3298 Issued in AZ
Practice address
4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9306
Phone
(480) 626-6606
NPI assigned
Apr 9, 2009
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP3298 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9306

Mailing address

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9306
Phone (480) 626-6606

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
I20091207000225 AZ Practitioner - Nurse Practitioner 7810036795 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
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9385
Phone (480) 443-8400

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: edith.gazo.p1@direct.aara.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1629211479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "480-626-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "480-626-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZO",
        "first_name": "EDITH",
        "middle_name": "LAO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.