Individual provider Active NPI

Gabrielle Marie Gladhart, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1164288528
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
303799 Issued in AZ
Practice address
2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736
Phone
(480) 795-1515
Fax
(480) 597-1723
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 303799 AZ Primary

Addresses

Primary practice location

2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736

Mailing address

2162 E Williams Field Rd Ste 111
Gilbert, AZ 85295-0736
Phone (480) 795-1515

Other practice location 1

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-1900

Other names 1

  • Gabrielle Marie Green 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
I20240628002224 AZ Practitioner - Nurse Practitioner 9638613854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ponderosa Heart House CallGroup PAC ID 5890112429, 10 clinicians
Livi Medical Services LLCGroup PAC ID 8820283039, 11 clinicians

Practice addresses (Care Compare)

2162 E Williams Field Rd
Suite 111
Gilbert, AZ 85295-0736
Phone (480) 795-1515

3030 N Central Ave
Suite 1200
Phoenix, AZ 85012-2745
Phone (480) 607-0606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303799AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Medical Group CurrentSince May 18, 2024 Accepting new patients
Phoenix Children's Hospital Current Accepting new patients
Livi Medical Services LLC CurrentSince Aug 26, 2024 Accepting new patients
Just 4 Kids PLC PastSince Jan 18, 2008 Accepting new patients
Maian Pediatrics,PLLC PastSince Nov 1, 2017 Accepting new patients
Phoenix Children's Hospital, Inc. Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-1010

19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777

6321 S Ellsworth Rd
Ste 114
Mesa, AZ 85212

9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

3030 N Central Ave
Ste 1200
Phoenix, AZ 85012
Phone (480) 607-0606

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254

4733 N 1st Ave
Tucson, AZ 85718
Phone (520) 888-3032

Interoperability endpoints

  • Direct secure messaging: gabrielle.green.1@27970.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1164288528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 E WILLIAMS FIELD RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950736",
            "telephone_number": "480-795-1515",
            "fax_number": "480-597-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 E WILLIAMS FIELD RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950736",
            "telephone_number": "480-795-1515",
            "fax_number": "480-597-1723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167710",
            "country_code": "US",
            "telephone_number": "602-933-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADHART",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "303799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "GREEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.