Active NPI
Caroline Nyakio Nduati, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 230578
- Practice address
- 4356 E Gail CT
Gilbert, AZ 85296-9674 - Phone
- (480) 330-7412
- NPI assigned
- Apr 7, 2023
- Last updated
- Nov 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 230578 | AZ | Primary |
Addresses
Primary practice location
4356 E Gail CT
Gilbert, AZ 85296-9674
Mailing address
4356 E Gail CT
Gilbert, AZ 85296-9674
Phone (480) 330-7412
Other practice location 1
7301 N 16th St Ste 202
Phoenix, AZ 85020-5265
Phone (602) 753-2345
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Phoenix, AZ 85021
Phone (602) 350-3046
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230578 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisteria Mental Health & Wellness Center PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| MH 7 LLC | Current | Accepting new patients | |
| Roberto I. Bracamonte, M.D., P.C. | Current | Accepting new patients | |
| Valley Neurobehavioral Institute PLLC | Current | Accepting new patients | |
| New Roots Health & Wellness LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
9831 E Bell Rd
Scottsdale, AZ 85260
Phone (480) 474-4122
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Child & Adolescent Psychiatry Physician
- Phoenix, AZ
- NPI 1780979740
-
dba Pinnacle Health Associate
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1710255088
-
- Child & Adolescent Psychiatry Physician
- Scottsdale, AZ
- NPI 1962848309
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1578489944
-
- Child & Adolescent Psychiatry Physician
- Phoenix, AZ
- NPI 1194413419
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1609561323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4356 E GAIL CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852969674",
"telephone_number": "480-330-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4356 E GAIL CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852969674",
"telephone_number": "480-330-7412"
}
],
"practiceLocations": [
{
"address_1": "7301 N 16th St Ste 202",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850205265",
"country_code": "US",
"telephone_number": "602-753-2345",
"fax_number": "602-419-3062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUATI",
"first_name": "CAROLINE",
"middle_name": "NYAKIO",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "230578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.
- 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.