Active NPI
Karibu Family Care PLLC
- Primary Care Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Baldwin Syellu Msowoya, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2158539 | Karibu Family Care, PLLC | Certificate of waiver | Oct 26, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Family Nurse Practitioner
- Peoria, AZ
- NPI 1518400969
-
- Family Nurse Practitioner
- Peoria, AZ
- NPI 1174973523
-
- Emergency Medicine Physician
- Glendale, AZ
- NPI 1982633855
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.