Organization Active NPI

Simone Gabriel Enterprises

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1881296382
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SIMONE GABRIEL ENTERPRISES
Practice address
15182 N 75TH Ave Ste 180
Peoria, AZ 85381-4722
Phone
(602) 567-7856
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Authorized official

Name
Mrs. Kristian Adair, FNPNPI 1356967327
Title
Owner
Phone
(602) 567-7856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

15182 N 75TH Ave Ste 180
Peoria, AZ 85381-4722

Mailing address

15182 N 75TH Ave Ste 180
Peoria, AZ 85381-4722
Phone (602) 567-7856

Other names 1

  • Adair Family Clinic & Medspa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Athena Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1881296382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15182 N 75TH AVE STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814722",
            "telephone_number": "602-567-7856",
            "fax_number": "833-449-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15182 N 75TH AVE STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814722",
            "telephone_number": "602-567-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE GABRIEL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-567-7856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "Secure internet web charting",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15182 N 75th Ave Ste 180",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adair Family Clinic & Medspa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adair Family Clinic & Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.