Active NPI
Elizabeth Grijalva, APRN-CNP
- Family Nurse Practitioner
- Douglas, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 230180
- Practice address
- 1100 N F Ave
Douglas, AZ 85607-1919 - Phone
- (520) 364-3285
- Fax
- (520) 364-3378
- NPI assigned
- May 14, 2024
- Last updated
- Sep 17, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 230180 | AZ | Primary |
Addresses
Primary practice location
1100 N F Ave
Douglas, AZ 85607-1919
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429
Other practice location 1
6911 N Bdi Blvd
Douglas, AZ 85607-6202
Phone (520) 364-7521 ext. 34480
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 N F Ave
Douglas, AZ 85607-1919
Phone (502) 364-3285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230180 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc. | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
251 W Rex Allen Dr
Willcox, AZ 85643
Interoperability endpoints
- elizabeth.grijalva.p1@direct.cchci.nextgenshare.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.
-
dba Business Office
- Federally Qualified Health Center (FQHC)
- Douglas, AZ
- NPI 1942241443
-
dba Benson Family Health Center
- Federally Qualified Health Center (FQHC)
- Benson, AZ
- NPI 1821582529
-
dba Willcox Clinic
- Federally Qualified Health Center (FQHC)
- Willcox, AZ
- NPI 1285488866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1942059993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071920",
"telephone_number": "520-364-1429",
"fax_number": "520-515-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071919",
"telephone_number": "520-364-3285",
"fax_number": "520-364-3378"
}
],
"practiceLocations": [
{
"address_1": "6911 N Bdi Blvd",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "AZ",
"postal_code": "856076202",
"country_code": "US",
"telephone_number": "520-364-7521 x34480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIJALVA",
"first_name": "ELIZABETH",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "230180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.