Lisa D'Alessandro-Betancourt, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP3012 Issued in AZ

Practice address

11361 N 99TH Ave Ste 200
Peoria, AZ 85345-5470

Phone

(602) 636-1212

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

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 and National Provider Directory roles.

• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1609243518
  Medicare reassignment Care Compare group NPD
• Leading Healthcare Clinic of Goodyear LLC

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1902448566

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Leading Healthcare Specialist PLLC

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1497390561

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1902776107
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1659674984
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1730251034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331",
            "telephone_number": "602-265-8338",
            "fax_number": "602-265-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455470",
            "telephone_number": "602-636-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852025820",
            "country_code": "US",
            "telephone_number": "480-820-5422",
            "fax_number": "480-775-4938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ALESSANDRO-BETANCOURT",
        "first_name": "LISA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP3012",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN086946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy
• CVS Pharmacy Inc. Agent for CVS RX Services, Inc.
• CVS/Pharmacy
• Cynthia D. Gollihar
• Sophia Cyrus, PA-C
• Stephanie Nicole D'Andrea-Escalante
• Sean Benedict D'Souza, MD
• D&G Providence Care LLC
• D&L Adult Care Home, LLC
• Joan Dahmer, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Peoria, AZ
• Providers in Peoria, 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 Jan 29, 2020; 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.