Organization Active NPI

Karibu Family Care PLLC

  • Primary Care Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1255815858
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
KARIBU FAMILY CARE PLLC
Practice address
7747 W Deer Valley Rd Ste 235
Peoria, AZ 85382-2123
Phone
(623) 225-7980
Fax
(623) 225-7736
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Anthony Baldwin Syellu Msowoya, FNPNPI 1518400969
Title
Co-Owner -Family Nurse Practitioner
Phone
(602) 741-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

7747 W Deer Valley Rd Ste 235
Peoria, AZ 85382-2123

Mailing address

24654 N Lake Pleasant Pkwy # 103-433
Peoria, AZ 85383-1359
Phone (602) 741-0124

Other practice location 1

20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749
Phone (602) 741-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102000382 AZ Part B Supplier - Clinic/Group Practice 5890030480 Receives reassigned benefits from 3 practitioners
Practice locations: Peoria, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2158539Karibu Family Care, PLLC7747 W Deer Valley Rd, Ste 235, Peoria, AZ 85382Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFGFDD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1255815858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY # 103-433",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "602-741-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 W DEER VALLEY RD STE 235",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822123",
            "telephone_number": "623-225-7980",
            "fax_number": "623-225-7736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20542 N Lake Pleasant Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853829749",
            "country_code": "US",
            "telephone_number": "602-741-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARIBU FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MSOWOYA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BALDWIN SYELLU",
        "authorized_official_title_or_position": "CO-OWNER -FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-741-0124",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.