Christiana Archibong
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
NPI 1093364622 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1093364622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 239526 (AZ)
- Practice address
- 1500 N Priest Dr Ste 109
Tempe, AZ 85288-1213 - Phone
- (702) 589-4871
- Fax
- (702) 589-4872
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21168 E Ocotillo Rd
Queen Creek, AZ 85142-8175
2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2701
312 Arizona Ave
Suite 31
Santa Monica, CA 90401-1306
890 W Elliot Rd
Gilbert, AZ 85233-5102
Phone (407) 476-5568
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251006003062 | AZ | Practitioner - Nurse Practitioner | 7719310457 |
Reassigns benefits to 2 organizations Practice locations: Gilbert, AZ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78718-041 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Channels of Healing Med Clinic & Spa LLC | Family | Current |
Accepting new patients |
Locations
890 W Elliot Rd
Gilbert, AZ 85233
Phone (480) 500-2285
21168 E Ocotillo Rd
San Tan Vly, AZ 85142
Phone (520) 677-8025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-78718-041 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 239526 | AZ | Yes |
| Family Nurse Practitioner | 363LF0000X | 239526 | AZ |
Addresses
Primary practice location
1500 N Priest Dr Ste 109
Tempe, AZ 85288-1213
Mailing address
1500 N Priest Dr Ste 109
Tempe, AZ 85288-1213
Phone (702) 589-4871
Other practice location 1
21508 W 51st Pl
Shawnee, KS 66226-9731
Phone (913) 486-2906
Other providers in Tempe, AZ
- Amanda Araki
- Jessica Aranda
- Rita Joan Archambault
- Marlo J Archer
- Arches Behavioral Health Center
- Ranna Ardebili
- Angela Arellano
- Olubukola Aremu
- Vicki Lynn Arenz
- Arete Sleep Therapy LLC
All providers in Tempe, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.