Individual provider Active NPI

Kristen M Rihawi, NP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1124661707
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
254416 Issued in AZ
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(877) 809-5092
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 077960-23 NH
Family Nurse Practitioner 363LF0000X 254416 AZ Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Other practice location 1

214 Washington St
Claremont, NH 03743-5512
Phone (603) 863-7777

Other identifiers 2

IdentifierTypeStateIssuer
092230MedicaidAZ
460759375MedicaidNH

Other names 1

  • Mrs. Kristen Trimble Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jim@kfpmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240708001269 OR Practitioner - Nurse Practitioner 3971938374 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254416AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2024 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2024 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Current Accepting new patients
Providence Health & Services Oregon Family CurrentSince Jul 1, 2024 Accepting new patients
Adelante Healthcare, Inc. Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Adelante Healthcare, Inc CurrentSince Jul 26, 2021 Accepting new patients
Providence Health & Services - Oregon Family Medicine Past Accepting new patients

Locations

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

1510 Division St
Ste 80
Oregon City, OR 97045
Phone (503) 655-0775

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

5050 NE Hoyt St
Ste 255
Portland, OR 97213
Phone (503) 215-6085

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9155 SW Barnes Rd
Ste 730
Portland, OR 97225
Phone (503) 216-4033

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

Organizations & group practices 9

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1124661707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "877-809-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Washington St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037435512",
            "country_code": "US",
            "telephone_number": "603-863-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIHAWI",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "077960-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "254416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092230",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460759375",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jim@kfpmed.com",
            "affiliation": "N",
            "address_1": "214 Washington St",
            "city": "Claremont",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037435512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "TRIMBLE",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.