Emelita Laluan Cabilatazan, MSN-FNP
Individual provider Active NPI Family Nurse Practitioner · Apache Junction, AZ
NPI 1891275657 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1891275657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP11543 (AZ)
- Practice address
- 725 W Apache TRL Ste 4
Apache Junction, AZ 85120-3963 - Phone
- (480) 870-7130
- Fax
- (480) 906-2171
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190123002971 | AZ | Practitioner - Nurse Practitioner | 5991042319 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Arizona, LLC | Current |
Accepting new patients |
Locations
725 W Apache Trl
Ste 4
Apache Junction, AZ 85120
Phone (480) 870-7130
4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- ecabilatazan@hmg.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP11543 | AZ | Yes |
Addresses
Primary practice location
725 W Apache TRL Ste 4
Apache Junction, AZ 85120-3963
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other providers in Apache Junction, AZ
- Courtney D Burress
- Michael Burruss
- Ginger Danielle Butcher
- By Your Side Behavioral Health
- Mary Ann Byerly
- Janet Ann Callon
- Calm Integrated Healthcare LLC
- Jane L Camden
- Sydney Carlos
- Kathleen Casey
All providers in Apache Junction, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.