Chrysalis Children'S Clinic, PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

CHRYSALIS CHILDREN'S CLINIC, PLLC

Practice address

1845 E Broadway Rd Ste 116
Tempe, AZ 85282-1685

Phone

(602) 851-5353

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Angela J Cabrera, APRNNPI 1245375955

Title

Ceo/Pediatric Nurse Practitioner

Phone

(623) 570-7829

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela J Cabrera, CRNP (PNP-PC)

  • Pediatric Nurse Practitioner
  • Mesa, AZ
  • NPI 1245375955

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1982315529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 S ALDER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834148",
            "telephone_number": "623-570-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD STE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821685",
            "telephone_number": "602-851-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CHILDREN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-570-7829",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Johnstad MD PLLC
• Christopher J. Drew DDS
• Christopher J. Hunt M.D., PC
• Christopher Michael Picarelli Jr., D.C.
• Jamie Christopher
• Avery Parker Chu
• Brandon R. Chuman, PSY.D
• Karen Chumbe
• Camille Chung, O.D.
• Kendall Blair Church

• Pediatric Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.