Individual provider Active NPI

Caroline Nyakio Nduati, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1609561323
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
230578 Issued in AZ
Practice address
4356 E Gail CT
Gilbert, AZ 85296-9674
Phone
(480) 330-7412
NPI assigned
Apr 7, 2023
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002355 AZ Practitioner - Nurse Practitioner 7113450065 Reassigns benefits to 3 organizations

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
Roberto I Bracamonte MD PCGroup PAC ID 9537330147, 4 clinicians

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

LicenseStateTypeSpecialty
230578AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisteria Mental Health & Wellness Center PLLC Psychiatric/Mental Health CurrentSince Nov 17, 2024 Accepting new patients
MH 7 LLC CurrentSince Oct 1, 2024 Accepting new patients
Roberto I. Bracamonte, M.D., P.C. CurrentSince Jun 23, 2025 Accepting new patients
Valley Neurobehavioral Institute PLLC CurrentSince Oct 1, 2025 Accepting new patients
New Roots Health & Wellness LLC Psychiatric/Mental Health PastSince Apr 9, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.