Individual provider Active NPI

Emma Theresa Muhlstein, APRN, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1972223246
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
282713 Issued in AZ
Practice address
655 S Dobson Rd Ste 101
Chandler, AZ 85224-5668
Phone
(480) 459-2555
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN171634 AZ
Family Nurse Practitioner 363LF0000X 282713 AZ Primary

Addresses

Primary practice location

655 S Dobson Rd Ste 101
Chandler, AZ 85224-5668

Mailing address

655 S Dobson Rd
Chandler, AZ 85224-5667
Phone (480) 459-2555

Other practice location 1

1489 S Higley Rd Ste 101
Gilbert, AZ 85296-4777
Phone (480) 571-1554

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
I20221117002672 AZ Practitioner - Nurse Practitioner 4587032826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lilac Healthcare LLCGroup PAC ID 7911333596, 23 clinicians

Practice addresses (Care Compare)

655 S Dobson Rd
Suite A101
Chandler, AZ 85224-5667
Phone (480) 459-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN171634AZMDRegistered Nurse
282713AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lilac Healthcare LLC CurrentSince Oct 20, 2022 Accepting new patients

Locations

655 S Dobson Rd
Ste 101
Chandler, AZ 85224
Phone (480) 459-2555

655 S Dobson Rd
Ste A101
Chandler, AZ 85224
Phone (480) 855-5900

655 S Dobson Rd
Chandler, AZ 85224
Phone (480) 459-2555

1489 S Higley Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 457-8800

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1972223246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245667",
            "telephone_number": "480-459-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245668",
            "telephone_number": "480-459-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1489 S Higley Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852964777",
            "country_code": "US",
            "telephone_number": "480-571-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHLSTEIN",
        "first_name": "EMMA",
        "middle_name": "THERESA",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN171634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "282713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.