Individual provider Active NPI

Noelle Clark, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1972108082
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
249458 Issued in AZ
Practice address
1100 N El Dorado PL
Tucson, AZ 85715-4606
Phone
(520) 526-2071
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 249458 AZ Primary

Addresses

Primary practice location

1100 N El Dorado PL
Tucson, AZ 85715-4606

Mailing address

1100 N El Dorado PL
Tucson, AZ 85715-4606
Phone (520) 526-2071

Other names 1

  • Noelle Guiriba Former name

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
I20210125003206 AZ Practitioner - Nurse Practitioner 7618381161 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonoran Health Clinic LLCGroup PAC ID 2466804695, 4 clinicians
Alsbiei Medical Services PLLCGroup PAC ID 6507081056, 3 clinicians

Practice addresses (Care Compare)

5120 N Camino Arenosa
Tucson, AZ 85718-6340
Phone (520) 296-1206

6689 N Shadow Run Dr
Tucson, AZ 85704-6932
Phone 5202961206111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249458AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alsbiei Medical Services PLLC CurrentSince Sep 15, 2021 Accepting new patients
Sonoran Health Clinic LLC CurrentSince Nov 28, 2023 Accepting new patients
Wilmot Primary Care Group, PLLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1100 N El Dorado Pl
Tucson, AZ 85715
Phone (520) 296-7169

5232 E Pima St
Tucson, AZ 85712
Phone (480) 685-1147

603 N Wilmot Rd
#201
Tucson, AZ 85711
Phone (520) 790-1556

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

2900 E Milber St
Tucson, AZ 85714
Phone (520) 294-0005

5232 E Pima St
Ste 120
Tucson, AZ 85712

Organizations & group practices 3

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1972108082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-526-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-526-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NOELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "249458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "GUIRIBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.