Active NPI
Karla Ippolito, PA-C
- Physician Assistant
- Scottsdale, AZ
National Provider Identifier
1114468972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6669
- Practice address
- 8913 E Bell Rd
#101B
Scottsdale, AZ 85260-1598 - Phone
- (480) 860-2173
- NPI assigned
- Mar 13, 2017
- Last updated
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6669 | AZ | Primary |
Addresses
Primary practice location
8913 E Bell Rd
#101B
Scottsdale, AZ 85260-1598
Mailing address
7025 E Via Soleri Dr
2058
Scottsdale, AZ 85251-1266
Phone (602) 561-6579
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6669 | AZ | MD | Physical Therapist |
| 58104 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gawley Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Scottsdale, AZ
- NPI 1639232697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1114468972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 E VIA SOLERI DR",
"address_2": "2058",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852511266",
"telephone_number": "602-561-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8913 E BELL RD",
"address_2": "#101B",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601598",
"telephone_number": "480-860-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPPOLITO",
"first_name": "KARLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.