Active NPI
Kristen M Rihawi, NP
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 254416
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092230 | Medicaid | AZ | |
| 460759375 | Medicaid | NH |
Other names 1
- Mrs. Kristen Trimble
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254416 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Family | Current | Accepting new patients |
| Adelante Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Adelante Healthcare, Inc | Current | 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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1215734124
-
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Buckeye, AZ
- NPI 1801954441
Family Medicine
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
Family Medicine
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Cardiovascular Disease Physician
- Portland, OR
- NPI 1114244597
Family
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.