Individual provider Active NPI

Kayla Shackleton, PA

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1033725437
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3225 N Civic Center PLZ Ste 1
Scottsdale, AZ 85251-6919
Phone
(480) 246-3000
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3225 N Civic Center PLZ Ste 1
Scottsdale, AZ 85251-6919

Mailing address

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 494-3656

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
I20210106002032 AZ Practitioner - Physician Assistant 2668885914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Cardiovascular Consultants LTDGroup PAC ID 3577551084, 21 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Scottsdale, AZ 85258-4523

10238 E Hampton Ave
Mesa, AZ 85209-3322

10510 N 92ND St
Scottsdale, AZ 85258-4566

18700 N 64TH Dr
Suite 101
Glendale, AZ 85308-7110
Phone (602) 867-8644

19646 N 27TH Ave
Suite 408
Phoenix, AZ 85027-4028
Phone (602) 867-8644

20745 N Scottsdale Rd
Scottsdale, AZ 85255-6595

3225 N Civic Ctr PLZ
Suite 1
Scottsdale, AZ 85251-6919
Phone (480) 587-5871

3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2136

5422 W Thunderbird Rd
Suite 8
Glendale, AZ 85306-4717
Phone (602) 867-8644

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants LTD CurrentSince Jul 1, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 29, 2025 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Dec 29, 2025 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

10238 E Hampton Ave
Ste 305
Mesa, AZ 85209
Phone (480) 257-2647

19646 N 27th Ave
Phoenix, AZ 85027
Phone (602) 663-9371

3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656

19646 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (480) 718-5072

3225 N Civic Center Plz
Ste 1
Scottsdale, AZ 85251
Phone (480) 447-3708

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

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

10210 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 949-1212

Interoperability endpoints

  • Direct secure messaging: kayla.shackleton.1@31664.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1033725437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-494-3656",
            "fax_number": "602-867-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N CIVIC CENTER PLZ STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516919",
            "telephone_number": "480-246-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKLETON",
        "first_name": "KAYLA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.