Individual provider Active NPI

Elizabeth Aguilera, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1720587728
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10680 Issued in AZ
Practice address
500 W Thomas Rd Ste 600
Phoenix, AZ 85013-4221
Phone
(602) 406-1140
Fax
(602) 406-1149
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10680 AZ
Family Nurse Practitioner 363LF0000X AP10680 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 600
Phoenix, AZ 85013-4221

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

1727 W Frye Rd Ste 210
Chandler, AZ 85224-5298
Phone (480) 728-7564

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
I20181206001748 AZ Practitioner - Nurse Practitioner 6709120470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10680AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Mar 22, 2020 Accepting new patients
Zion Medical Group PLLC CurrentSince Aug 26, 2018 Accepting new patients
Yadwinder S Dhillon MD PC Nurse Practitioner Past Accepting new patients
Dignity Community Care Past Accepting new patients
Lookout Mountain Healthcare LLC Past Accepting new patients

Locations (25 of 31)

1980 W Pecos Rd
Chandler, AZ 85224
Phone (480) 821-1268

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1727 W Frye Rd
Ste 210
Chandler, AZ 85224
Phone (480) 728-7564

3800 S Alma School Rd
Ste 112
Chandler, AZ 85248
Phone (480) 907-7707

2121 W Elgin St
Chandler, AZ 85224
Phone (480) 478-9029

3744 S Rome St
Gilbert, AZ 85297
Phone (480) 224-9500

13620 N 55th Ave
Glendale, AZ 85304
Phone (602) 588-1047

4704 W Diana Ave
Glendale, AZ 85302
Phone (623) 247-3949

7201 W Camino San Xavier
Glendale, AZ 85308
Phone (623) 773-6100

330 S Pinnule Cir
Mesa, AZ 85206
Phone (480) 981-0687

51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333

107 E Lone Pine Dr
Payson, AZ 85541
Phone (928) 474-6896

807 W Longhorn Rd
Payson, AZ 85541
Phone (928) 474-1120

3130 E Broadway Rd
Phoenix, AZ 85040

500 W Thomas Rd
Ste 250
Phoenix, AZ 85013
Phone (602) 263-9345

11411 N 19th Ave
Phoenix, AZ 85029
Phone (602) 256-7500

1880 E Van Buren St
Phoenix, AZ 85006
Phone (602) 253-4570

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

8008 S Jesse Owens Pkwy
Phoenix, AZ 85042
Phone (602) 243-2780

500 W Thomas Rd
Ste 600
Phoenix, AZ 85013
Phone (602) 406-1140

3008 N 3rd St
Phoenix, AZ 85012
Phone (602) 313-6000

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

4065 E Bell Rd
Phoenix, AZ 85032
Phone (602) 867-0212

Organizations & group practices 7

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1720587728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134221",
            "telephone_number": "602-406-1140",
            "fax_number": "602-406-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 W Frye Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245298",
            "country_code": "US",
            "telephone_number": "480-728-7564",
            "fax_number": "480-728-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.