Organization Active NPI

Monarch Dermatology and Wellness Center LLC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1083538268
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MONARCH DERMATOLOGY AND WELLNESS CENTER LLC
Practice address
5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147
Phone
(623) 377-2572
NPI assigned
Aug 8, 2026
Last updated
Aug 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Kathrina Ridley, FNP-C
Title
Owner/Provider
Phone
(623) 377-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147

Mailing address

5700 W Olive Ave Ste 102
Glendale, AZ 85302-3147
Phone (623) 377-2572

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1083538268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023147",
            "telephone_number": "623-377-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023147",
            "telephone_number": "623-377-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH DERMATOLOGY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "KATHRINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-377-2572",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.