Individual provider Active NPI

Gabriela Hebronova, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1083201362
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241466 Issued in AZ
Practice address
4900 N Scottsdale Rd # 2400
Scottsdale, AZ 85251-7652
Phone
(480) 628-4224
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 241466 AZ Primary

Addresses

Primary practice location

4900 N Scottsdale Rd # 2400
Scottsdale, AZ 85251-7652

Mailing address

7508 E Earll Dr Unit 19
Scottsdale, AZ 85251-7934
Phone (480) 628-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
241466AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1083201362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 E EARLL DR UNIT 19",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517934",
            "telephone_number": "480-628-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N SCOTTSDALE RD # 2400",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517652",
            "telephone_number": "480-628-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBRONOVA",
        "first_name": "GABRIELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "241466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.