Gabriel Lindstrom, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP8682 Issued in AZ

Practice address

6911 N Bdi Blvd
Douglas, AZ 85607-6202

Phone

(520) 364-7521

NPI assigned

Jun 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gila Health ResourcesGroup PAC ID 1254327216, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gabriel.lindstrom.1@33093.direct.athenahealth.com

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.

• Gila Health Resources

  • Family Medicine Physician
  • Morenci, AZ
  • NPI 1497740187
  Medicare reassignment Care Compare group NPD
• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Medicare reassignment NPD
• Community Intervention Associates, Inc.

  • Community/Behavioral Health Agency
  • Bisbee, AZ
  • NPI 1518250620
  Medicare reassignment NPD
• Bisbee Hospital Association

  • Rural Health Clinic/Center
  • Hereford, AZ
  • NPI 1245986975
  NPD
• Bisbee Hospital Association

  • Clinic/Center
  • Bisbee, AZ
  • NPI 1568471696
  NPD
• Community Intervention Assciates, Inc

  • Community/Behavioral Health Agency
  • Parker, AZ
  • NPI 1144961152
  NPD
• Community Intervention Associates, Inc.

  • Primary Care Clinic/Center
  • Yuma, AZ
  • NPI 1851651079
  NPD

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1518316983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MOHAVE DR",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856039796",
            "telephone_number": "520-559-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 N BDI BLVD",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856076202",
            "telephone_number": "520-364-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "GABRIEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP8682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Lara
• Lilia Lara
• Julia Larez, RN
• Mauricio G. Larios, DDS
• Lesan Assisted Living, L.L.C.
• Heidi L Lodge, MD
• Gabrielle Alexandra Lugo, ARNP
• Dia Cherie Madden, FNP
• Aman Paul Mansury, MD
• Eduardo Antonio Marrero Velis

• Family Nurse Practitioner in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.