Active NPI
Felicia Ugborugbo
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 297761
- Practice address
- 3448 E Amber LN
Gilbert, AZ 85296-1839 - Phone
- (480) 510-6615
- NPI assigned
- Sep 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 297761 | AZ | Primary |
Addresses
Primary practice location
3448 E Amber LN
Gilbert, AZ 85296-1839
Mailing address
5501 N 19TH Ave Ste 425
Phoenix, AZ 85015-2481
Phone (480) 510-6615
Other practice location 1
5501 N 19th Ave Ste 425
Phoenix, AZ 85015-2481
Phone (480) 510-6615
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214001047 | AZ | Practitioner - Nurse Practitioner | 8325482789 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 N 19TH Ave
Suite 425
Phoenix, AZ 85015-2481
Phone (725) 666-1636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Tower Recovery, LLC | Current | Accepting new patients |
Locations
5501 N 19th Ave
Ste 425
Phoenix, AZ 85015
Phone (602) 492-9800
5501 N 19th Ave
Phoenix, AZ 85015
Phone (480) 219-5769
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1902685993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 N 19TH AVE STE 425",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152481",
"telephone_number": "480-510-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3448 E AMBER LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961839",
"telephone_number": "480-510-6615"
}
],
"practiceLocations": [
{
"address_1": "5501 N 19th Ave Ste 425",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152481",
"country_code": "US",
"telephone_number": "480-510-6615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UGBORUGBO",
"first_name": "FELICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-11-17",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "297761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.