Active NPI
Kirsten Dominique Hart Rentfrow, FNP
- Pediatric Nurse Practitioner
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP7353
- Practice address
- 1260 S Campbell Ave
Green Valley, AZ 85614-0504 - Phone
- (520) 407-5600
- Fax
- (520) 407-5990
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP7353 | AZ | Primary |
Addresses
Primary practice location
1260 S Campbell Ave
Green Valley, AZ 85614-0504
Mailing address
1260 S Campbell Ave
Green Valley, AZ 85614-0504
Phone (520) 407-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 985949 | Medicaid | AZ |
Other names 1
- Kirsten Dominique Hart
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7353 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Community Health Center - Maria Auxiliadora, Inc. | Current | Accepting new patients | |
| United Community Health Center - Maria Auxiliadora Inc. | Current | Accepting new patients | |
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| United Community Health Center-Maria Auxiliadora, Inc. | Current | Accepting new patients | |
| United Community Health Center-Maria Auxiliadora, Inc. | Past | Accepting new patients | |
| United Community Health Center-Maria Auxiliadora, Inc. | Past | Accepting new patients | |
| Dean Ettinger MD, PC | Past | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients | |
| United Community Health Center-Maria Auxiliadora, Inc. | Past | Accepting new patients |
Locations
1260 S Campbell Ave
Green Valley, AZ 85614
Phone (520) 407-5600
1260 S Campbell Ave
Bldg 2
Green Valley, AZ 85614
Phone (520) 407-5400
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
18857 S La Canada Dr
Sahuarita, AZ 85629
Phone (520) 407-5800
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770
3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000
13299 E Colossal Cave Rd
Vail, AZ 85641
Phone (520) 407-5606
Interoperability endpoints
- kirsten.rentfrow@uchc.eclinicaldirectplus.com
Organizations & group practices 10
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 Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Federally Qualified Health Center (FQHC)
- Green Valley, AZ
- NPI 1093766867
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Federally Qualified Health Center (FQHC)
- Sahuarita, AZ
- NPI 1487978201
-
- Federally Qualified Health Center (FQHC)
- Green Valley, AZ
- NPI 1811465966
-
- Pediatrics Physician
- Sierra Vista, AZ
- NPI 1013048149
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
-
- Federally Qualified Health Center (FQHC)
- Sahuarita, AZ
- NPI 1134622590
-
- Federally Qualified Health Center (FQHC)
- Green Valley, AZ
- NPI 1275715286
-
- Federally Qualified Health Center (FQHC)
- Sahuarita, AZ
- NPI 1598592784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1134523624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 S CAMPBELL AVE",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856140504",
"telephone_number": "520-407-5600",
"fax_number": "520-407-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 S CAMPBELL AVE",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856140504",
"telephone_number": "520-407-5600",
"fax_number": "520-407-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTFROW",
"first_name": "KIRSTEN",
"middle_name": "DOMINIQUE HART",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "AP7353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "985949",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "HART",
"middle_name": "DOMINIQUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.