Individual provider Active NPI

Michaela Beaver, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1881008258
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
271946 Issued in AZ
Practice address
3126 S Higley Rd Ste 104
Gilbert, AZ 85295-2030
Phone
(520) 346-0831
Fax
(520) 422-5545
NPI assigned
Jun 13, 2014
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 271946 AZ
Family Nurse Practitioner 363LF0000X A126717 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G181531 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 271946 AZ Primary

Addresses

Primary practice location

3126 S Higley Rd Ste 104
Gilbert, AZ 85295-2030

Mailing address

1600 W Chandler Blvd Ste 100
Chandler, AZ 85224-6100
Phone (480) 719-7400

Other practice location 1

1600 W Chandler Blvd Ste 100
Chandler, AZ 85224-6100
Phone (480) 719-7400

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
I20220504000875 AZ Practitioner - Nurse Practitioner 8729205000 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271946AZMDFamily Nurse Practitioner
G181531IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Healing Psychiatric Services LLC Psychiatric/Mental Health Current Accepting new patients
Core Self LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1600 W Chandler Blvd
Ste 100
Chandler, AZ 85224
Phone (480) 427-0122

3126 S Higley Rd
Ste 104
Gilbert, AZ 85295
Phone (480) 719-7400

Interoperability endpoints

  • Direct secure messaging: michaela.beaver@uchc.directbygreenway.com

Organizations & group practices 3

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1881008258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246100",
            "telephone_number": "480-719-7400",
            "fax_number": "480-719-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952030",
            "telephone_number": "520-346-0831",
            "fax_number": "520-422-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Chandler Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246100",
            "country_code": "US",
            "telephone_number": "480-719-7400",
            "fax_number": "480-719-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "MICHAELA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271946",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A126717",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G181531",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "271946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.