Kaitlin Spivey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

281465 Issued in AZ

Practice address

7701 W Aspera Blvd
Glendale, AZ 85308-7947

Phone

(623) 248-2100

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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.

• BBS Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1326804881

  AZ

  Medicare reassignment NPD
• Cornerstone Healing Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1154823680
  NPD
• Cornerstone Healing Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1649958760
  NPD
• Cornerstone Healing Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1710556808
  NPD
• Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1316228802
  NPD (past)
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1417238908
  NPD (past)
• Nirvana Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1093439259
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2022.

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1003530635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 W ASPERA BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 W ASPERA BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087947",
            "telephone_number": "623-248-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "KAITLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "281465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Patrick Spine III, D.M.D.
• Spinecare of Phoenix LLC
• Catherine Spire, FNP
• Niculae Spirea, CAREGIVER/MANAGER
• Austin L Spitzer, MD
• Spooner Physical Therapy & Hand Rehab, PC
• Sports Medicine Institute Inc
• Katrina M Spradling, FNP-C
• Jasmine Sra, M.D.
• Dharmashree Sreedhar, M.D.

• All providers in Glendale, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.