Individual provider Active NPI

Ferdinand Briones, MSN,FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1881173318
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11393 Issued in AZ
Practice address
10184 W Happy Valley Pkwy Ste 180
Peoria, AZ 85383-1254
Phone
(623) 322-5992
NPI assigned
Aug 7, 2018
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11393 AZ
Family Nurse Practitioner 363LF0000X AP11393 AZ Primary

Addresses

Primary practice location

10184 W Happy Valley Pkwy Ste 180
Peoria, AZ 85383-1254

Mailing address

2224 W Clarendon Ave
Phoenix, AZ 85015-5435
Phone (602) 748-9734

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
I20220318001290 AZ Practitioner - Nurse Practitioner 4688069131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP11393AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgentmed House Call LLC Family CurrentSince Oct 6, 2019 Accepting new patients
Compassionate Christian Psychiatry LLC Family CurrentSince Mar 11, 2022 Accepting new patients
Integrated Medical Wellness Center, LLC CurrentSince Dec 26, 2021 Accepting new patients
Across Life Span Mental Health LLC Psychiatric/Mental Health CurrentSince Mar 11, 2022 Accepting new patients

Locations

10184 W Happy Valley Pkwy
Ste 180
Peoria, AZ 85383
Phone (623) 322-5992

9401 W Thunderbird Rd
Ste 186
Peoria, AZ 85381
Phone (623) 465-7165

9401 W Thunderbird Rd
Ste 189
Peoria, AZ 85381
Phone (602) 830-0699

24 W Camelback Rd
#445
Phoenix, AZ 85013

Organizations & group practices 4

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1881173318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 W CLARENDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155435",
            "telephone_number": "602-748-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10184 W HAPPY VALLEY PKWY STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831254",
            "telephone_number": "623-322-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "FERDINAND",
        "name_prefix": "Mr.",
        "credential": "MSN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11393",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.