Individual provider Active NPI

Tonjua Sibley, F.N.P.

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1033527726
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5709 Issued in AZ
Practice address
1400 N Gilbert Rd
Gilbert, AZ 85234-2328
Phone
(480) 590-2123
NPI assigned
Jul 26, 2014
Last updated
Oct 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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 AP5709 AZ Primary

Addresses

Primary practice location

1400 N Gilbert Rd
Gilbert, AZ 85234-2328

Mailing address

7309 W St Catherine Ave
Laveen, AZ 85339-7017
Phone (602) 910-0350

Other identifiers 1

IdentifierTypeStateIssuer
937841MedicaidAZ

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
I20141003000232 AZ Practitioner - Nurse Practitioner 3779703319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kmtrask PLLCGroup PAC ID 8921386483, 15 clinicians

Practice addresses (Care Compare)

2200 E Williams Field Rd
Suite 200
Gilbert, AZ 85295-0764
Phone (480) 452-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Younique Healthcare Solutions LLC Family CurrentSince Oct 27, 2024 Accepting new patients
Zion Institute CurrentSince Jan 5, 2025 Accepting new patients
Kmtrask, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Dbotc LLC CurrentSince May 9, 2024 Accepting new patients
Hazel's Hope & Integrated Health PastSince Sep 5, 2023 Accepting new patients

Locations

1400 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 466-0242

2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

20987 N John Wayne Pkwy
#B
Maricopa, AZ 85139
Phone (602) 899-1744

1616 E Main St
Ste 111
Mesa, AZ 85203
Phone (480) 388-4906

1522 E Southern Ave
Phoenix, AZ 85040
Phone (602) 314-6022

1522 E Southern Ave
Ste 1
Phoenix, AZ 85040
Phone (480) 468-6995

1717 W Northern Ave
Ste 107
Phoenix, AZ 85021
Phone (310) 733-0815

515 W Buckeye Rd
Ste 306
Phoenix, AZ 85003
Phone (602) 374-4937

Interoperability endpoints

  • Direct secure messaging: tonjua.sibley.1@31516.direct.athenahealth.com
  • Direct secure messaging: tonjua.sibley@71082555932676.direct.elationemr.com
  • Direct secure messaging: tonjua.sibley@direct.digidms.com

Organizations & group practices 5

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": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1033527726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 W ST CATHERINE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397017",
            "telephone_number": "602-910-0350",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342328",
            "telephone_number": "480-590-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "TONJUA",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937841",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.