Organization Active NPI

Kays Family Healthcare PLLC

  • Primary Care Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1073184404
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
KAYS FAMILY HEALTHCARE PLLC
Practice address
3507 E Mesquite St
Gilbert, AZ 85296-1829
Phone
(480) 626-0562
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Daud Koleosho
Title
Owner
Phone
(480) 626-0562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3507 E Mesquite St
Gilbert, AZ 85296-1829

Mailing address

3507 E Mesquite St
Gilbert, AZ 85296-1829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728000674 AZ Part B Supplier - Clinic/Group Practice 3274936208 Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

2222 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (520) 431-8744

5201 N 19th Ave
Ste 112
Phoenix, AZ 85015

681 Cottage St NE
Salem, OR 97301
Phone (336) 314-7105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1073184404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 E MESQUITE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 E MESQUITE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961829",
            "telephone_number": "480-626-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYS FAMILY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "KOLEOSHO",
        "authorized_official_first_name": "DAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-626-0562"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.

Verify at the official NPI Registry.