Individual provider Active NPI

Deborah A Gorombei, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1194492306
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
262885 Issued in AZ
Practice address
16515 S 40TH St Ste 143
Phoenix, AZ 85048-0560
Phone
(480) 712-1305
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 262885 AZ Primary
Family Nurse Practitioner 363LF0000X TEMP262885 AZ

Addresses

Primary practice location

16515 S 40TH St Ste 143
Phoenix, AZ 85048-0560

Mailing address

4939 W Ray Rd # 4-118
Chandler, AZ 85226-2065
Phone (602) 550-5566

Other practice location 1

4939 W Ray Rd # 4-118
Chandler, AZ 85226-2065
Phone (602) 550-5566

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Direct

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
I20211118002774 AZ Practitioner - Nurse Practitioner 1557750262 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262885AZMDFamily Nurse Practitioner
TEMP262885AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DG Nurse Consulting LLC Family Current Accepting new patients
Dispatchhealth-Arizona CurrentSince Nov 12, 2024 Accepting new patients
Dispatchhealth-Arizona CurrentSince Nov 12, 2024 Accepting new patients
Curative Specialty Care LLC Family PastSince Sep 1, 2024 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194492306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 W RAY RD # 4-118",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262065",
            "telephone_number": "602-550-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480560",
            "telephone_number": "480-712-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4939 W Ray Rd # 4-118",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852262065",
            "country_code": "US",
            "telephone_number": "602-550-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOROMBEI",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262885",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TEMP262885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "DrChronoEHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Fax",
            "address_1": "16515 S 40th St Ste 143",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850480560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.