Individual provider Active NPI

Sibongile Cherry Mpofu

  • Family Nurse Practitioner
  • Globe, AZ
National Provider Identifier
1770455065
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
329128 Issued in AZ
Practice address
285 N Broad St
Globe, AZ 85501-2503
Phone
(480) 900-7256
Fax
(480) 900-7256
NPI assigned
Sep 18, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 329128 AZ Primary

Addresses

Primary practice location

285 N Broad St
Globe, AZ 85501-2503

Mailing address

285 N Broad St
Globe, AZ 85501-2503
Phone (480) 900-7256

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
I20260116003860 AZ Practitioner - Nurse Practitioner 0042797391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1355 N Scottsdale Rd
Suite 240
Scottsdale, AZ 85257-3594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329128AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fatty Liver Clinic PLLC CurrentSince Feb 3, 2026 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Jan 8, 2026 Accepting new patients

Locations

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3238 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 651-2503

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1770455065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N BROAD ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012503",
            "telephone_number": "480-900-7256",
            "fax_number": "480-900-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N BROAD ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012503",
            "telephone_number": "480-900-7256",
            "fax_number": "480-900-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MPOFU",
        "first_name": "SIBONGILE",
        "middle_name": "CHERRY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "329128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.