Individual provider Active NPI

Christie Sibiga, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1679194153
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
239892 Issued in AZ
Practice address
14961 W Bell Rd
Surprise, AZ 85374-3200
Phone
(623) 242-9830
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 239892 AZ Primary

Addresses

Primary practice location

14961 W Bell Rd
Surprise, AZ 85374-3200

Mailing address

13952 N 133Rd LN
Surprise, AZ 85379-6460
Phone (502) 802-7985

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
I20200623002040 AZ Practitioner - Nurse Practitioner 0648692558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Lung Sleep and Valley Fever Institute Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13818 N Thunderbird Blvd
Sun City, AZ 85351
Phone (480) 985-6992

14961 W Bell Rd
Ste 175
Surprise, AZ 85374
Phone (623) 242-9830

14961 W Bell Rd
Surprise, AZ 85374
Phone (623) 242-9830

Organizations & group practices 1

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1679194153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13952 N 133RD LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796460",
            "telephone_number": "502-802-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-242-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBIGA",
        "first_name": "CHRISTIE",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "239892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.