Individual provider Active NPI

Katelyn Geyer, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1144617812
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7553 Issued in AZ
Practice address
9321 W Thomas Rd Ste 420
Phoenix, AZ 85037-3399
Phone
(855) 776-7266
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7553 AZ Primary

Addresses

Primary practice location

9321 W Thomas Rd Ste 420
Phoenix, AZ 85037-3399

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other practice location 1

2080 W Southern Ave Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prosano Health Solutions, Inc. Family Medicine CurrentSince May 12, 2024 Accepting new patients
Prosano Health Solutions, Inc. Family Medicine PastSince May 12, 2024 Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

9321 W Thomas Rd
Ste 420
Phoenix, AZ 85037

Interoperability endpoints

  • Direct secure messaging: katelyn.geyer.1@27165.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1144617812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 W THOMAS RD STE 420",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373399",
            "telephone_number": "855-776-7266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 W Southern Ave Bldg B10",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "85120",
            "country_code": "US",
            "telephone_number": "480-351-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEYER",
        "first_name": "KATELYN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2024; 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.