Individual provider Active NPI

Kali Pellegrino, FNP-C, RN

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1134715162
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247797 Issued in AZ
Practice address
2451 E Baseline Rd Ste 400
Gilbert, AZ 85234-2472
Phone
(480) 494-5357
NPI assigned
Dec 14, 2020
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 247797 AZ Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 400
Gilbert, AZ 85234-2472

Mailing address

3425 E Mockingbird Dr
Gilbert, AZ 85234-2224
Phone (203) 231-1506

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
247797AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona CVS Stores LLC CurrentSince Apr 9, 2024 Accepting new patients
Ageless Women's Health Az LLC PastSince Feb 19, 2023 Accepting new patients

Locations

2840 N Dysart Rd
Goodyear, AZ 85395
Phone (623) 536-5309

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1134715162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 E MOCKINGBIRD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342224",
            "telephone_number": "203-231-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 400",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342472",
            "telephone_number": "480-494-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "KALI",
        "credential": "FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.