Active NPI
Katie R Lenhart, PA
- Physician Assistant
- Buckeye, AZ
National Provider Identifier
1033490891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002204
- Practice address
- 1500 S Watson Rd Ste C-104
Buckeye, AZ 85326-8689 - Phone
- (623) 251-7559
- Fax
- (662) 326-6401
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002204 | IA | Primary |
Addresses
Primary practice location
1500 S Watson Rd Ste C-104
Buckeye, AZ 85326-8689
Mailing address
3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3848
Other practice location 1
100 S Main St
Lenox, IA 50851-1240
Phone (641) 333-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1033490891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 2200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322139",
"telephone_number": "602-633-3848",
"fax_number": "602-633-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S WATSON RD STE C-104",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853268689",
"telephone_number": "623-251-7559",
"fax_number": "662-326-6401"
}
],
"practiceLocations": [
{
"address_1": "100 S Main St",
"address_purpose": "LOCATION",
"city": "Lenox",
"state": "IA",
"postal_code": "508511240",
"country_code": "US",
"telephone_number": "641-333-4545",
"fax_number": "641-333-4547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENHART",
"first_name": "KATIE",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.