Individual provider Active NPI

Celeste Jolie Fine, NP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1023379393
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4505 Issued in AZ
Practice address
3507 S Mercy Rd
Suite 101
Gilbert, AZ 85297
Phone
(480) 926-0644
Fax
(480) 926-0645
NPI assigned
Jun 4, 2012
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4505 AZ Primary

Addresses

Primary practice location

3507 S Mercy Rd
Suite 101
Gilbert, AZ 85297

Mailing address

3507 S Mercy Rd Ste 101
Gilbert, AZ 85297-0441
Phone (480) 926-0644

Other names 1

  • Celeste Jolie Michaud Former name

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
I20130129000463 AZ Practitioner - Nurse Practitioner 4486808441 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4505AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Neurology Partners PLLC CurrentSince May 3, 2014 Accepting new patients
Neurosin PLLC PastSince Feb 1, 2020 Accepting new patients

Locations

1452 N Higley Rd
Gilbert, AZ 85234
Phone (480) 813-9600

3507 S Mercy Rd
Gilbert, AZ 85297

3507 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 926-0644

7400 S Power Rd
Gilbert, AZ 85297
Phone (602) 573-5351

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1023379393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 S MERCY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970441",
            "telephone_number": "480-926-0644",
            "fax_number": "480-926-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 S MERCY RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-926-0644",
            "fax_number": "480-926-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "CELESTE",
        "middle_name": "JOLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "MICHAUD",
            "middle_name": "JOLIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.