Active NPI
Jodi K Gabriel, APRN
- Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 307440
- Practice address
- 5210 E Williams Cir Ste 620
Tucson, AZ 85711-8008 - Phone
- (520) 428-8828
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 307440 | AZ | Primary |
| Nurse Practitioner | 363L00000X | 113896 | NE |
Addresses
Primary practice location
5210 E Williams Cir Ste 620
Tucson, AZ 85711-8008
Mailing address
394 N White Marble Ave
Tucson, AZ 85748-0029
Phone (402) 686-9363
Other names 1
- Jodi K Hartman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307440 | AZ | MD | Nurse Practitioner |
| 113896 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Hydr8, LLC | Current | Accepting new patients | |
| Orthowest LLC | Nurse Practitioner | Current | Accepting new patients |
| Orthowest LLC | Nurse Practitioner | Current | Accepting new patients |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Urgent Care Group LLC | Past | Accepting new patients |
Locations
1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
18210 Wright St
Omaha, NE 68130
Phone (531) 999-1813
2725 S 144th St
Ste 212
Omaha, NE 68144
Phone (402) 354-4000
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1922735406
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Papillion, NE
- NPI 1063411833
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1073323606
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1144528035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1518622323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 N WHITE MARBLE AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857480029",
"telephone_number": "402-686-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 E WILLIAMS CIR STE 620",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857118008",
"telephone_number": "520-428-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "JODI",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "307440",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "113896",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "HARTMAN",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.