Individual provider Active NPI

Kathryn S Kennel, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1144252164
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3020 Issued in AZ
Practice address
3945 E Paradise Falls Dr Ste 105
Tucson, AZ 85712-6686
Phone
(520) 689-7030
Fax
(520) 395-9796
NPI assigned
Jul 7, 2006
Last updated
Mar 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 3020 AZ Primary

Addresses

Primary practice location

3945 E Paradise Falls Dr Ste 105
Tucson, AZ 85712-6686

Mailing address

3945 E Paradise Falls Dr
Tucson, AZ 85712-6683
Phone (520) 429-5474

Other practice location 1

121 West Esperanza Blvd
181
Green Valley, AZ 85614
Phone (520) 689-7030

Other practice location 2

514 E Whitehouse Canyon Rd
Green Valley, AZ 85614-0538
Phone (520) 689-7030

Other practice location 3

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-3771

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000285 AZ Practitioner - Nurse Practitioner 4880649797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Blood and Cancer Specialists, PLLCGroup PAC ID 4082957428, 15 clinicians

Practice addresses (Care Compare)

3945 E Paradise Falls Dr
Suite 105
Tucson, AZ 85712-6686
Phone (520) 689-7022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3020AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Blood and Cancer Specialists, PLLC Family CurrentSince Sep 22, 2019 Accepting new patients
Arizona Oncology Associates, PC Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Arizona Blood and Cancer Specialists, PLLC PastSince Nov 15, 2020 Accepting new patients
Arizona Blood and Cancer Specialists, PLLC PastSince Jul 1, 2022 Accepting new patients
Arizona Oncology Associates, PC Past Accepting new patients

Locations

514 E Whitehouse Canyon Rd
Ste 110
Green Valley, AZ 85614
Phone (520) 625-3230

10390 N La Canada Dr
Ste 150
Tucson, AZ 85737
Phone (520) 276-6047

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

2625 N Craycroft Rd
Ste 200
Tucson, AZ 85712
Phone (520) 324-2409

3700 E Fort Lowell Rd
Ste 130
Tucson, AZ 85716
Phone (520) 325-9718

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1144252164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126683",
            "telephone_number": "520-429-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126686",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 West Esperanza Blvd",
            "address_2": "181",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "85614",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 E Whitehouse Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856140538",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-324-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEL",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.