Individual provider Active NPI

Keren Jane Lefford, PA

  • Physician Assistant
  • Paradise Valley, AZ
National Provider Identifier
1003815846
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03654 Issued in NC
Practice address
10330 N Scottsdale Rd
Paradise Valley, AZ 85253
Phone
(602) 255-7625
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002486 MI
Medical Physician Assistant 363AM0700X 4448 AZ
Surgical Physician Assistant 363AS0400X 5601002486 MI
Surgical Physician Assistant 363AS0400X 4448 AZ
Physician Assistant 363A00000X 0010-03654 NC Primary

Addresses

Primary practice location

10330 N Scottsdale Rd
Paradise Valley, AZ 85253

Mailing address

10330 N Scottsdale Rd
Paradise Valley, AZ 85253-1427
Phone (602) 255-7625

Other identifiers 2

IdentifierTypeStateIssuer
1003815846MedicaidNC
2368PAMedicaidSC

Other names 1

  • Keren Jane Lefford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120220000337 AZ Practitioner - Physician Assistant 5496736712 Reassigns benefits to 4 organizations
I20120917000226 NC Practitioner - Physician Assistant 5496736712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

16716 E Palisades Blvd
Suite 101B
Fountain Hills, AZ 85268-3846
Phone (480) 587-5910

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

6220 W Bell Rd
Glendale, AZ 85308-3896

7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03654NCMDPhysician Assistant
4448AZMDSurgical Physician Assistant
5601002486MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 15, 2014 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Jun 8, 2020 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Jun 8, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 8, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 15, 2014 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Jun 8, 2020 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Jun 8, 2020 Accepting new patients
Scottsdale Healthcare Corp. CurrentSince Jun 8, 2020 Accepting new patients
Emergency Medical Associates, PLLC Physician Assistant Past Accepting new patients
Thoracic and Cardiovascular Institute, P.C. Physician Assistant Past Accepting new patients
Honorhealth Ambulatory Medical Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

2500 W Utopia Rd
Phoenix, AZ 85027
Phone (602) 812-3080

1515 E Bethany Home Rd
Ste 120
Phoenix, AZ 85014

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900

Interoperability endpoints

  • Direct secure messaging: klefford368383@direct.honorhealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1003815846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N SCOTTSDALE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531427",
            "telephone_number": "602-255-7625",
            "fax_number": "602-255-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N SCOTTSDALE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "602-255-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFORD",
        "first_name": "KEREN",
        "middle_name": "JANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002486",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4448",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601002486",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4448",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003815846",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEREN",
            "last_name": "LEFFORD",
            "middle_name": "JANE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.