ADAIR FAMILY CLINIC & MEDSPA
NPI 1881296382
Nurse Practitioner - Family in Peoria, AZ

NPI Status: Active since November 10, 2020

Contact Information

15182 N 75TH AVE STE 180
PEORIA, AZ
ZIP 85381
Phone: (602) 567-7856

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 03D2292315
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-23-2025

About ADAIR FAMILY CLINIC & MEDSPA

This page provides the complete NPI Profile along with additional information for Adair Family Clinic & Medspa, a provider established in Peoria, Arizona operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1881296382 assigned on November 2020. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Adair Family Clinic & Medspa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Adair Family Clinic & Medspa. The authorized official of this NPI record is Mrs. Kristian Adair Fnp (Owner)

NPI
1881296382
Provider Legal Name
SIMONE GABRIEL ENTERPRISES
Other Organization Name
ADAIR FAMILY CLINIC & MEDSPA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15182 N 75TH AVE STE 180 PEORIA, AZ 85381
Location Phone
(602) 567-7856
Mailing Address
15182 N 75TH AVE STE 180 PEORIA, AZ 85381
Mailing Phone
(602) 567-7856
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2020
Last Update Date
06-30-2024
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A nurse practitioner (NP) like Adair Family Clinic & Medspa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QA0505XAllopathic & Osteopathic Physicians

Family Medicine
Adult Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KRISTIAN ADAIR FNP

Authorized Official Title
OWNER
Authorized Official Phone
(602) 567-7856

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2292315
Facility Type
Practitioner Other
Certificate Effective Date
October 24, 2023
Certificate Expiration Date
October 23, 2025
Laboratory Director
KRISTIAN N. ADAIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Adair Family Clinic & Medspa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1881296382
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281614912316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 4 + 9 + 1 + 2 + 3 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1881296382 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124667555DISTRICT MEDICAL GROUP, INC
Organization
Clinic/Center15182 N 75TH AVE STE 180
PEORIA, AZ 85381
(623) 487-3334
1356967327 KRISTIAN ADAIR APRN-RNP
Individual
Nurse Practitioner (Family)15182 N 75TH AVE STE 180
PEORIA, AZ 85381
(602) 567-7856
1073393708 DIANA VERONICA BAUTISTA FNP
Individual
Nurse Practitioner (Family)15182 N 75TH AVE STE 180
PEORIA, AZ 85381
(602) 567-7856
1053156018WHITAKER & HOLLEY
Organization
Clinic/Center (Primary Care)15182 N 75TH AVE STE 180
PEORIA, AZ 85381
(602) 567-7856

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881296382, enumerated in the NPI registry as an "organization" on November 10, 2020

The provider is located at 15182 N 75th Ave Ste 180 Peoria, Az 85381 and the phone number is (602) 567-7856

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 03D2292315 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 10, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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