Individual provider Active NPI

Kristen Marie Tenney

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1093211880
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11112 Issued in AZ
Practice address
725 S Dobson Rd Ste 100
Chandler, AZ 85224-5676
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
Apr 2, 2018
Last updated
Apr 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11112 AZ Primary

Addresses

Primary practice location

725 S Dobson Rd Ste 100
Chandler, AZ 85224-5676

Mailing address

20280 N 59TH Ave # 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8700

Other names 1

  • Kristen Marie Engels Former name

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
I20180417001523 AZ Practitioner - Nurse Practitioner 8123381571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Interventional Spine ConsultantsGroup PAC ID 0941499404, 2 clinicians

Practice addresses (Care Compare)

1410 W Guadalupe Rd
Suite 125
Gilbert, AZ 85233-3041
Phone (480) 838-1914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Interventional Spine Consultants CurrentSince Apr 17, 2023 Accepting new patients
Phoenix Neurological Institute, Inc CurrentSince Feb 1, 2022 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Apr 2, 2018 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Apr 2, 2018 Accepting new patients
Elite Anesthesia LLC Past Accepting new patients
Arizona Advanced Health Services LLC Past Accepting new patients

Locations

1760 E Florence Blvd
Ste 140
Casa Grande, AZ 85122
Phone (520) 426-1000

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

1410 W Guadalupe Rd
Ste 125
Gilbert, AZ 85233
Phone (480) 838-1914

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

1325 N Litchfield Rd
Ste 120
Goodyear, AZ 85395

2058 S Dobson Rd
Ste 2
Mesa, AZ 85202
Phone (480) 838-1914

4858 E Baseline Rd
Ste 107
Mesa, AZ 85206
Phone (480) 807-6500

606 N Country Club Dr
Ste 5
Mesa, AZ 85201

2222 E Highland Ave
Ste 220
Phoenix, AZ 85016
Phone (602) 667-5580

33747 N Scottsdale Rd
Ste 135
Scottsdale, AZ 85266
Phone (480) 248-6160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGIDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGIDBA/Endpoint/FGIDBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1093211880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE # 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245676",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNEY",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ENGELS",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.