Individual provider Active NPI

Gabrielle Shawe

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1649164146
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
253033 Issued in AZ
Practice address
2355 E Camelback Rd
Phoenix, AZ 85016-3458
Phone
(602) 358-8512
NPI assigned
Jun 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 253033 AZ
Family Nurse Practitioner 363LF0000X 253033 AZ Primary

Addresses

Primary practice location

2355 E Camelback Rd
Phoenix, AZ 85016-3458

Mailing address

2355 E Camelback Rd
Phoenix, AZ 85016-3458

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
I20251208002268 AZ Practitioner - Nurse Practitioner 1759875743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9192 W Union Hills Dr
Peoria, AZ 85382-8208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253033AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Vein and Endovascular LLC CurrentSince Nov 17, 2025 Accepting new patients
Sonoran Vein and Endovascular LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 374-4410

9192 W Union Hills Dr
Ste 100
Peoria, AZ 85382

9192 W Union Hills Dr
Peoria, AZ 85382

3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990

222 S Summit Ave
Ste 3
Prescott, AZ 86303
Phone (928) 250-7700

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1649164146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163458",
            "telephone_number": "602-358-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWE",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "253033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "253033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.