Individual provider Active NPI

Katie Marie Elizabeth Nemitz, RN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1144415639
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
159226-030 Issued in WI
Practice address
1130 E Butler Dr Apt D3
Phoenix, AZ 85020-3760
Phone
(307) 331-5096
NPI assigned
Sep 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 273588 AZ
Registered Nurse 163W00000X 159226-030 WI Primary

Addresses

Primary practice location

1130 E Butler Dr Apt D3
Phoenix, AZ 85020-3760

Mailing address

1130 E Butler Dr Apt D3
Phoenix, AZ 85020-3760
Phone (307) 331-5096

Other identifiers 1

IdentifierTypeStateIssuer
35039600MedicaidWI

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
159226-030WIMDRegistered Nurse
273588AZMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1144415639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E BUTLER DR APT D3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203760",
            "telephone_number": "307-331-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E BUTLER DR APT D3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203760",
            "telephone_number": "307-331-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMITZ",
        "first_name": "KATIE",
        "middle_name": "MARIE ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "273588",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "159226-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35039600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.