Active NPI
Sara Joyce Edmund, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP9846
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158158 | Medicaid | AZ |
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
Enrollment records 1
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
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 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP4506 | AZ | MD | Family Nurse Practitioner |
| AP9846 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Connectionsaz, LLC | Current | Accepting new patients | |
| Southwest Behavioral Health Services Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Connectionsaz, LLC | Current | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Connectionsaz, LLC | Current | Accepting new patients | |
| East Valley Psychiatry LLC | Current | 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
- 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.
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1992240857
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1083840953
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1144384389
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1356674030
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1972985547
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1972836088
-
- Psychiatric Residential Treatment Facility
- Kingman, AZ
- NPI 1023556339
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prescott Valley, AZ
- NPI 1578844726
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1891853446
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
- Seaun Daniel Edmonds Sr., MS
- Victoria Susan Edmonds, MD
- Kassandra Edmondson
- Sarah L Edmondson
- Stephanie Jo Edmondson, LPC-MHSP
- Edna's Counseling Center of Hope
- Heather Kathleen Edstrom, WHNP
- Trent W Edstrom, NURSE PRACTITIONER
- Educational Therapy Services
- Edward a. Madrid, DC, PC (Bronson Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.