Individual provider Active NPI

Soledad Villalobos, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1356740088
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247847 Issued in AZ
Practice address
14238 N 34TH Way
Phoenix, AZ 85032-5340
Phone
(602) 615-2213
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN180412 AZ
Family Nurse Practitioner 363LF0000X 247847 AZ Primary

Addresses

Primary practice location

14238 N 34TH Way
Phoenix, AZ 85032-5340

Mailing address

14238 N 34TH Way
Phoenix, AZ 85032-5340
Phone (602) 615-2213

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
I20210209000018 AZ Practitioner - Nurse Practitioner 9830504646 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247847AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica del Sol, LLC CurrentSince Jun 1, 2022 Accepting new patients
Valle del Sol, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Valle del Sol, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Guggiari Med PC Family CurrentSince Jun 1, 2022 Accepting new patients
The Arizona Partnership for Immunization Past Accepting new patients
Paradise Valley Unified School District Past Accepting new patients
Malik MD Clinic, LLC Past Accepting new patients

Locations

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

3807 N 7th St
Phoenix, AZ 85014

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

1510 S 19th Dr
Ste 100
Phoenix, AZ 85009
Phone (602) 257-4323

4117 N 17th St
Phoenix, AZ 85016
Phone (480) 341-5174

502 N 27th Ave
Phoenix, AZ 85009

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1356740088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14238 N 34TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325340",
            "telephone_number": "602-615-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14238 N 34TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325340",
            "telephone_number": "602-615-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "SOLEDAD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN180412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.