Active NPI
Kristian Adair, APRN-RNP
- Family Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 242927
- Practice address
- 15182 N 75TH Ave Ste 180
Peoria, AZ 85381-4722 - Phone
- (602) 567-7856
- NPI assigned
- Jun 24, 2020
- Last updated
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 242927 | AZ | Primary |
Addresses
Primary practice location
15182 N 75TH Ave Ste 180
Peoria, AZ 85381-4722
Mailing address
3219 W Desert LN
Laveen, AZ 85339-3832
Phone (623) 505-8891
Other practice location 1
3930 E Ray Rd Ste 180
Phoenix, AZ 85044-7175
Phone (602) 567-7856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242927 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simone Gabriel Enterprises | Multi-Specialty | Current | Accepting new patients |
Locations
7200 W Bell Rd
Ste E102
Glendale, AZ 85308
Phone (623) 934-9191
15182 N 75th Ave
Ste 180
Peoria, AZ 85381
Phone (602) 567-7856
Interoperability endpoints
- adairclinic@org259.direct.charmhealth.com
- kristian.adair.1@29499.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Adair Family Clinic & Medspa
- Family Nurse Practitioner
- Peoria, AZ
- NPI 1881296382
Multi-Specialty
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1053156018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1356967327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 W DESERT LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393832",
"telephone_number": "623-505-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15182 N 75TH AVE STE 180",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814722",
"telephone_number": "602-567-7856"
}
],
"practiceLocations": [
{
"address_1": "3930 E Ray Rd Ste 180",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850447175",
"country_code": "US",
"telephone_number": "602-567-7856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAIR",
"first_name": "KRISTIAN",
"credential": "APRN-RNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "242927",
"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 May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.