Active NPI
Marie Estelle Houseal, FNP
- Family Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1720398969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN173520
- Practice address
- 890 W Elliot Rd
Suite 102
Gilbert, AZ 85233-5102 - Phone
- (480) 545-2728
- NPI assigned
- Oct 20, 2010
- Last updated
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
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 | RN173520 | AZ | Primary |
Addresses
Primary practice location
890 W Elliot Rd
Suite 102
Gilbert, AZ 85233-5102
Mailing address
4209 E Redfield Rd
Phoenix, AZ 85032-5805
Phone (919) 522-8817
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 |
|---|---|---|---|
| RN173520 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 19TH Avenue Clinic LLC | Past | Accepting new patients | |
| Gold Star Medical LLC | Past | Accepting new patients | |
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients | |
| Express Care & Family Practice Center, PA | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1164727665
-
- Medical Specialty Clinic/Center
- Roanoke Rapids, NC
- NPI 1831473057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1720398969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 E REDFIELD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325805",
"telephone_number": "919-522-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W ELLIOT RD",
"address_2": "SUITE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335102",
"telephone_number": "480-545-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEAL",
"first_name": "MARIE",
"middle_name": "ESTELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN173520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.