Individual provider Active NPI

Amy Zangger Eby, CPNP

  • Pediatric Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1982825436
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN128538 Issued in AZ
Practice address
4915 E Baseline Rd
Ste 119
Gilbert, AZ 85234-2965
Phone
(480) 832-0480
Fax
(480) 832-0490
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN128538 AZ Primary

Addresses

Primary practice location

4915 E Baseline Rd
Ste 119
Gilbert, AZ 85234-2965

Mailing address

4915 E Baseline Rd
Ste 119
Gilbert, AZ 85234-2965
Phone (480) 832-0480

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
I20190826003216 AZ Practitioner - Nurse Practitioner 9133457302 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 29, 2019 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 29, 2019 Accepting new patients
All-Star Pediatrics, PLLC Past Accepting new patients

Locations

5310 W Thunderbird Rd
Ste 214
Glendale, AZ 85306
Phone (602) 865-4480

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

37100 N Gantzel Rd
Ste 214
San Tan Valley, AZ 85140
Phone (480) 412-9400

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

8840 E Chaparral Rd
Ste 210
Scottsdale, AZ 85250
Phone (480) 827-5370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3484/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1982825436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "STE 119",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-832-0480",
            "fax_number": "480-832-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "STE 119",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-832-0480",
            "fax_number": "480-832-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "AMY",
        "middle_name": "ZANGGER",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN128538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.