Individual provider Active NPI

Kristin Carol Kolodziej, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1003156654
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
323122 Issued in AZ
Practice address
3811 E Bell Rd Ste 206
Phoenix, AZ 85032-2159
Phone
(480) 680-6000
Fax
(480) 306-5966
NPI assigned
Feb 19, 2013
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 323122 AZ Primary
Registered Nurse 163W00000X RN164694 AZ

Addresses

Primary practice location

3811 E Bell Rd Ste 206
Phoenix, AZ 85032-2159

Mailing address

3811 E Bell Rd Ste 206
Phoenix, AZ 85032-2159
Phone (480) 680-6000

Other names 1

  • Kristin Carol Losch 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
I20250623003123 AZ Practitioner - Nurse Practitioner 3779093059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hydrorio-Lift PLCGroup PAC ID 0648613141, 2 clinicians

Practice addresses (Care Compare)

20434 N 38TH Dr
Glendale, AZ 85308-2263
Phone (602) 748-9560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323122AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hydrorio-Lift PLC Family CurrentSince Jun 10, 2025 Accepting new patients

Organizations & group practices 1

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1003156654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322159",
            "telephone_number": "480-680-6000",
            "fax_number": "480-306-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322159",
            "telephone_number": "480-680-6000",
            "fax_number": "480-306-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "KRISTIN",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "323122",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN164694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LOSCH",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.