Individual provider Active NPI

Sara Joyce Edmund, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1730441825
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP9846 Issued in AZ
Practice address
1424 S 7TH Avenue
Phoenix, AZ 85007
Phone
(602) 258-3600
Fax
(480) 999-5636
NPI assigned
Jun 13, 2012
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP4506 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9846 AZ Primary
Primary Care Nurse Practitioner 363LP2300X AP4506 AZ

Addresses

Primary practice location

1424 S 7TH Avenue
Phoenix, AZ 85007

Mailing address

3614 E Southern Ave
Suite A105
Mesa, AZ 85206-2509
Phone (480) 654-2266

Other identifiers 1

IdentifierTypeStateIssuer
158158MedicaidAZ

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
I20130515000092 AZ Practitioner - Nurse Practitioner 0749427656 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Psychiatry LLCGroup PAC ID 1355626565, 5 clinicians

Practice addresses (Care Compare)

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TAP4506AZMDFamily Nurse Practitioner
AP9846AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Sep 15, 2017 Accepting new patients
Connectionsaz, LLC CurrentSince Jun 9, 2019 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
District Medical Group, Inc CurrentSince May 17, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Connectionsaz, LLC CurrentSince Jan 10, 2017 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Sep 15, 2017 Accepting new patients
District Medical Group, Inc CurrentSince May 17, 2021 Accepting new patients
Connectionsaz, LLC CurrentSince Jan 10, 2017 Accepting new patients
East Valley Psychiatry LLC CurrentSince Jan 1, 2023 Accepting new patients
Adelante Healthcare, Inc. Past Accepting new patients

Locations

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

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

2036 N Gilbert Rd
#2134
Mesa, AZ 85203

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

1424 S 7th Ave
Bldg A
Phoenix, AZ 85007
Phone (602) 257-1558

1424 S 7th Ave
Bldg B
Phoenix, AZ 85007
Phone (602) 257-8970

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

Interoperability endpoints

  • Direct secure messaging: sedmund233171@direct.valleywisehealth.org

Organizations & group practices 12

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1730441825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 E SOUTHERN AVE",
            "address_2": "SUITE A105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062509",
            "telephone_number": "480-654-2266",
            "fax_number": "480-999-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S 7TH AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85007",
            "telephone_number": "602-258-3600",
            "fax_number": "480-999-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUND",
        "first_name": "SARA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP4506",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9846",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP4506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158158",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.