Individual provider Active NPI

Adrianne Jo O'Brien, FNP

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1154711695
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7622 Issued in AZ
Practice address
1285 W Camino Encanto
Green Valley, AZ 85622-8222
Phone
(520) 625-9400
NPI assigned
Feb 4, 2015
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 AP7622 AZ Primary

Addresses

Primary practice location

1285 W Camino Encanto
Green Valley, AZ 85622-8222

Mailing address

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0502
Phone (520) 407-5600

Other practice location 1

4475 S I 19 Frontage Rd Ste 139
Green Valley, AZ 85614-5884
Phone (520) 407-5910

Other names 1

  • Adrianne Jo Shields Former name

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1154711695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140502",
            "telephone_number": "520-407-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 W CAMINO ENCANTO",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856228222",
            "telephone_number": "520-625-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 S I 19 Frontage Rd Ste 139",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856145884",
            "country_code": "US",
            "telephone_number": "520-407-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ADRIANNE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANNE",
            "last_name": "SHIELDS",
            "middle_name": "JO",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.