Active NPI
Jennifer Nicole Somal, FNP-C
- Family Nurse Practitioner
- Peoria, AZ
National Provider Identifier
1699416917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 273314
- Practice address
- 7717 W Deer Valley Rd Ste 125
Peoria, AZ 85382-2102 - Phone
- (623) 561-6300
- NPI assigned
- Apr 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 273314 | AZ | Primary |
Addresses
Primary practice location
7717 W Deer Valley Rd Ste 125
Peoria, AZ 85382-2102
Mailing address
41612 N Signal Hill CT
Phoenix, AZ 85086-1913
Phone (623) 271-2364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273314 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648857600000",
"number": "1699416917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41612 N SIGNAL HILL CT",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850861913",
"telephone_number": "623-271-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 W DEER VALLEY RD STE 125",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822102",
"telephone_number": "623-561-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMAL",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-02",
"last_updated": "2022-04-02",
"certification_date": "2022-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "273314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.