Individual provider Active NPI

Xiomara Monterrey Javique, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1790572873
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
301973 Issued in AZ
Practice address
9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375
Phone
(480) 610-6100
NPI assigned
Apr 22, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 301973 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375

Mailing address

9305 W Thomas Rd Ste 478
Phoenix, AZ 85037-3375
Phone (480) 610-6100

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
I20251009004480 AZ Practitioner - Nurse Practitioner 1052818481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

7362 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-5028
Phone (602) 843-5455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301973AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Sep 1, 2025 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037
Phone (623) 236-8507

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

Interoperability endpoints

  • Direct secure messaging: xiomara.monterrey.1@2697.direct.athenahealth.com

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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1790572873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 478",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373375",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 478",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373375",
            "telephone_number": "480-610-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERREY JAVIQUE",
        "first_name": "XIOMARA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "301973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.