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CHRYSALIS CHILDREN'S CLINIC, PLLC
NPI 1982315529
Nurse Practitioner - Pediatrics in Tempe, AZ

Active since December 05, 2022CLIA 03D2274034 · Waiver
1845 E BROADWAY RD STE 116, TEMPE, AZ 85282(602) 851-5353 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chrysalis Children's Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS CHILDREN'S CLINIC, PLLC (NPI 1982315529) is a healthcare organization registered as a pediatrics in Tempe, Arizona and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Angela J Cabrera, Ceo/pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1982315529
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCHRYSALIS CHILDREN'S CLINIC, PLLC
Location Address1845 E BROADWAY RD STE 116Tempe, AZ 85282-1685
Mailing Address6847 S Alder DrTempe, AZ 85283-4148 · (623) 570-7829
Phone(602) 851-5353
Organization SubpartNo
Authorized OfficialAngela J CabreraCeo/pediatric Nurse Practitioner · (623) 570-7829
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1982315529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
1845 E BROADWAY RD STE 116, Tempe, AZ 85282
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2274034

Chrysalis Children's Clinic · Tempe, AZ
Active · expires Dec 21, 2026
CLIA Number03D2274034
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorAngela J. Cabrera
Laboratory Phone(602) 851-5353
Laboratory LocationChrysalis Children's Clinic1845 E Broadway Rd Ste 116, Tempe, AZ 85282
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECTRUM HEALTHCARE GROUP, INC.
Family Medicine
1845 E BROADWAY RD STE 116
TEMPE, AZ 85282
Maricopa County (877) 634-7333
EAST VALLEY PREMIER FAMILY PRACTICE
Nurse Practitioner (Family)
1845 E BROADWAY RD STE 116
TEMPE, AZ 85282
Maricopa County (480) 242-2953
ARIAND PLLC
Psychiatry & Neurology (Psychiatry)
1845 E BROADWAY RD STE 116
TEMPE, AZ 85282
Maricopa County (480) 848-6139
VALLEY CARE CLINIC PLLC
Clinic/Center (Primary Care)
1845 E BROADWAY RD STE 116
TEMPE, AZ 85282
Maricopa County (480) 499-0102
WILFREDO ALBERTO CONCIO FNP-C
Nurse Practitioner (Family)
1845 E BROADWAY RD STE 116
TEMPE, AZ 85282
Maricopa County (480) 499-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Children's Clinic, PLLC's NPI number?

The NPI number for Chrysalis Children's Clinic, PLLC is 1982315529. It was assigned to this organization in the NPPES registry on December 5, 2022.

Where is Chrysalis Children's Clinic, PLLC located?

Chrysalis Children's Clinic, PLLC is located at 1845 E Broadway Rd Ste 116, Tempe, AZ 85282. The listed phone number is (602) 851-5353.

What is Chrysalis Children's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Chrysalis Children's Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2274034) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chrysalis Children's Clinic, PLLC was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.