Active NPI
Exhale Health PLC
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1053182204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EXHALE HEALTH PLC
- Practice address
- 6619 N Scottsdale Rd
Scottsdale, AZ 85250-4421 - Phone
- (480) 904-8671
- NPI assigned
- Jan 15, 2024
- Last updated
- Dec 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Kaczmarek, PMHNP-BC
- Title
- Owner/Provider
- Phone
- (480) 904-8671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6619 N Scottsdale Rd
Scottsdale, AZ 85250-4421
Mailing address
5915 E Juniper Ave
Scottsdale, AZ 85254-9220
Phone (602) 790-6053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6619 N Scottsdale Rd
Scottsdale, AZ 85250
Phone (480) 435-1030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1760171243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1053182204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 E JUNIPER AVE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852549220",
"telephone_number": "602-790-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6619 N SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504421",
"telephone_number": "480-904-8671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXHALE HEALTH PLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "KACZMAREK",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "480-904-8671",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Excellent Spirit, LLC (Dr. Constance Bradley Acupuncture)
- Excellent Surgical Services LLC
- Executive Communications LLC
- Executive Digestive Health
- Kathleen K Exelby, PH.D., MA,LPC
- Catherine Mary Exley
- Expert Injury Recovery Specialists PLLC
- Extremity Imaging Centers LLC
- Eye Care of Scottsdale PLLC
- Eyecare Plus Scottsdale
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.