Individual provider Active NPI

Rebecca L James, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1851485783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP2011 Issued in AZ
Practice address
120 W Main St
Casa Grande, AZ 85222-4820
Phone
(520) 836-1675
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP2011 AZ Primary

Addresses

Primary practice location

120 W Main St
Casa Grande, AZ 85222-4820

Mailing address

1491 E Mia LN
Gilbert, AZ 85296-6835
Phone (602) 326-9135

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
I20061218000225 AZ Practitioner - Nurse Practitioner 3072512284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Mesa, AZ 85210
Phone (480) 788-4628

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pride Behavioral Health CurrentSince Jul 28, 2016 Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Lafrontera Center Inc Past Accepting new patients
Lifewell Behavioral Wellness PastSince Jan 2, 2008 Accepting new patients

Locations

4960 S Gilbert Rd
Ste 1
Chandler, AZ 85249
Phone (602) 796-8263

1041 S Lebaron
Ste P
Mesa, AZ 85210
Phone (480) 788-4628

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851485783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 E MIA LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852966835",
            "telephone_number": "602-326-9135",
            "fax_number": "520-421-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224820",
            "telephone_number": "520-836-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.