Individual provider Active NPI

Kathleen A. Dufur

  • Case Management Registered Nurse
  • Surprise, AZ
National Provider Identifier
1104549898
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
217857 Issued in AZ
Practice address
15363 W Hope Dr
Surprise, AZ 85379-5361
Phone
(623) 694-0857
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 217857 AZ Primary

Addresses

Primary practice location

15363 W Hope Dr
Surprise, AZ 85379-5361

Mailing address

4041 S McClintock Dr Ste 302
Tempe, AZ 85282-5879
Phone (520) 233-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
217857AZMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group CurrentSince Sep 25, 2022 Accepting new patients
Adobe Care and Wellness LLC PastSince Sep 25, 2022 Accepting new patients

Locations

4041 S McClintock Dr
Ste 302
Tempe, AZ 85282
Phone (520) 233-7111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1104549898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "520-233-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15363 W HOPE DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795361",
            "telephone_number": "623-694-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFUR",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "217857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.