Individual provider Active NPI

Nubia Lomeli, DNP, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1619328374
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8781 Issued in AZ
Practice address
6524 W Indian School Rd Ste a
Phoenix, AZ 85033-3329
Phone
(602) 892-0799
Fax
(602) 892-0828
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8781 AZ Primary

Addresses

Primary practice location

6524 W Indian School Rd Ste a
Phoenix, AZ 85033-3329

Mailing address

6524 W Indian School Rd Ste a
Phoenix, AZ 85033-3329
Phone (602) 892-0799

Other identifiers 1

IdentifierTypeStateIssuer
166038MedicaidAZ

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
I20160816002775 AZ Practitioner - Nurse Practitioner 3971898875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica Revive Salud PLLCGroup PAC ID 3678938727, 2 clinicians

Practice addresses (Care Compare)

6524 W Indian School Rd
Suite a
Phoenix, AZ 85033-3329
Phone (602) 892-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8781AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Medicine LLC CurrentSince Jan 1, 2019 Accepting new patients
American Family Medicine LLC Family CurrentSince Jan 1, 2019 Accepting new patients
Clinica Revive Salud PLLC CurrentSince Sep 1, 2022 Accepting new patients
Desert Kidney Associates PLC PastSince Jan 16, 2017 Accepting new patients

Locations

5501 N 19th Ave
Ste 218
Phoenix, AZ 85015
Phone (602) 242-1221

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

5501 N 19th Ave
Ste 128
Phoenix, AZ 85015

6524 W Indian School Rd
Ste A
Phoenix, AZ 85033
Phone (602) 892-0799

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

9169 W Van Buren St
Tolleson, AZ 85353
Phone (602) 283-5732

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1619328374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333329",
            "telephone_number": "602-892-0799",
            "fax_number": "602-892-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W INDIAN SCHOOL RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333329",
            "telephone_number": "602-892-0799",
            "fax_number": "602-892-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMELI",
        "first_name": "NUBIA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166038",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.