Dispatchhealth-Arizona
Organization Active NPI Emergency Medicine Physician · Phoenix, AZ
NPI 1922532944 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1922532944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- DISPATCHHEALTH-ARIZONA
- Practice address
- 4602 E University Dr Ste 150
Phoenix, AZ 85034-7423 - Phone
- (520) 442-2269
- NPI assigned
- Apr 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Bruce Allen Johnson
- Title
- Ocg/Ao
- Phone
- (303) 589-4149
Practitioners 143
-
Amber E Anderson, APRN, NP-C
-
Kimberly Chea, M.D.
-
Valerie Jacovides, RN,MSN,FNP-C
-
Rita F Peters, APRN
-
Elizabeth Baker, FNP-C
-
Keri Cavallo, FNP-C
-
Murilo Da Silveira, ARNP
-
Jessica Griffin, FNP-C
-
Melissa Dawn Holton, FNP-C
-
Herbert Kalen, NP-C
-
Jennifer Keys, FNP
-
Kristen Renee Neely-Gilbert, RN, MSN, CEN, FNP-C
-
Randee Phillips, APRN-CNP
-
Hannah Christine Roberts, DNP, FNP-C, ENP-C
-
Diedre Shepard, FNP-BC
-
Julie Wilson, NP
-
Mary Ann Henry, PA-C
-
Andrew Quast, PA-C
-
Nicholas Peter Fedor, PA-C
-
Phillip Ashton Foster, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2134311 | Dispatchhealth - Arizona, PC | Accreditation | Jun 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170731003542 | AZ | Part B Supplier - Clinic/Group Practice | 7810268422 |
Receives reassigned benefits from 135 practitioners Practice locations: Tucson, AZ; Phoenix, AZ |
National Provider Directory
Locations
2255 W Harrison St
Ste C
Chicago, IL 60612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
4602 E University Dr Ste 150
Phoenix, AZ 85034-7423
Mailing address
3825 N Lafayette St
Denver, CO 80205-3316
Phone (303) 500-1518
Other practice location 1
1705 W University Dr Ste 104
Tempe, AZ 85281-3269
Phone (480) 493-3444
Other names
- DispatchHealth
Other providers in Phoenix, AZ
- Discover Health Center Inc
- Susan May Disilvestro
- Joseph Dismukes
- Thomas Frederick Disney
- Dispatchhealth Advanced Care LLC
- Vanessa Dispensa
- Douglas P Distefano
- District Medical Group
- District Medical Group
- District Medical Group, Inc
All providers in Phoenix, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.