Individual provider Active NPI

Emanuella Eremia, NP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1730871336
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05230565 Issued in AZ
Practice address
20434 N 38TH Dr
Glendale, AZ 85308-2263
Phone
(602) 748-9560
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05230565 AZ Primary

Addresses

Primary practice location

20434 N 38TH Dr
Glendale, AZ 85308-2263

Mailing address

20434 N 38TH Dr
Glendale, AZ 85308-2263
Phone (602) 748-9560

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
I20231122000954 AZ Practitioner - Nurse Practitioner 3577911007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hydrorio-Lift PLCGroup PAC ID 0648613141, 2 clinicians

Practice addresses (Care Compare)

20434 N 38TH Dr
Glendale, AZ 85308-2263
Phone (602) 748-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05230565AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hydrorio-Lift PLC Family CurrentSince Dec 16, 2023 Accepting new patients

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1730871336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20434 N 38TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082263",
            "telephone_number": "602-748-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20434 N 38TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082263",
            "telephone_number": "602-748-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EREMIA",
        "first_name": "EMANUELLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F05230565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.