Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth Pembroke

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902304678

Beth Pembroke is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Colorado, New Mexico and New York and 1 more.

Years since qualifying
5
Licensed in
AZ, CO, NM, NY, UT
In the registry since
2018
Specialties on file
5
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Practice location Address checks out

16620 N 40th St Ste E-1
Phoenix, AZ 85032-3348
Phone: (602) 464-9576
Fax: (602) 626-8901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 36457 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140-7343 — (480) 764-1900
  • 2001 W Orange Grove Rd Ste 414, Tucson, AZ 85704-1141 — (520) 534-2000
  • 2304 N Rosemont Blvd, Tucson, AZ 85712-2139 — (520) 867-4960
  • 7914 E Sabino Sunrise Cir, Tucson, AZ 85750-9751 — (904) 412-6291

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 271416 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 13987096-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence C-APN.0102379-C-NP (CO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 79497 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F405679-01 (NY)

Record details

NPI number1902304678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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