Individual provider Active NPI

Fabiola Jenson, RN

  • General Practice Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1780562272
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
303083 Issued in AZ
Practice address
5251 W Campbell Ave Ste 208
Phoenix, AZ 85031-1719
Phone
(480) 725-9047
NPI assigned
Aug 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 303083 AZ Primary

Addresses

Primary practice location

5251 W Campbell Ave Ste 208
Phoenix, AZ 85031-1719

Mailing address

5251 W Campbell Ave Ste 208
Phoenix, AZ 85031-1719
Phone (207) 409-4952

Other practice location 1

8140 W Gibson Ln
Phoenix, AZ 85043-7487
Phone (207) 409-4952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
303083AZMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Arcadia LLC CurrentSince Aug 1, 2025 Accepting new patients
Living Hope Clinic LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

5251 W Campbell Ave
Ste 208
Phoenix, AZ 85031
Phone (207) 966-6134

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": "1755907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1780562272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311719",
            "telephone_number": "207-409-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311719",
            "telephone_number": "480-725-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 W Gibson Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850437487",
            "country_code": "US",
            "telephone_number": "207-409-4952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSON",
        "first_name": "FABIOLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "303083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.