Individual provider Active NPI

Kindra Crocker Roads, MSN, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1164889374
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8389 Issued in AZ
Practice address
1270 W Silverlake Rd
Tucson, AZ 85713-2728
Phone
(520) 351-8111
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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 AP8389 AZ Primary

Addresses

Primary practice location

1270 W Silverlake Rd
Tucson, AZ 85713-2728

Mailing address

1270 W Silverlake Rd
Tucson, AZ 85713
Phone (520) 351-8111

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
I20190110000350 AZ Practitioner - Nurse Practitioner 6002152170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Linda Wroten PCGroup PAC ID 5597771394, 10 clinicians

Practice addresses (Care Compare)

5486 N Via Papavero
Tucson, AZ 85750-6056
Phone (520) 314-3412

Hospital & facility affiliations

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8389AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Wroten P.C. CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Sep 18, 2019 Accepting new patients

Locations

5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 336-9179

6890 E Sunrise Dr
Ste 120176
Tucson, AZ 85750
Phone (520) 314-3412

1785 E Skyline Dr
Ste 181
Tucson, AZ 85718
Phone (520) 433-4964

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

12650 N Beach St
Ste 11425
Fort Worth, TX 76244

Interoperability endpoints

  • Direct secure messaging: kindra.roads.1@31833.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1164889374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 W SILVERLAKE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85713",
            "telephone_number": "520-351-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 W SILVERLAKE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857132728",
            "telephone_number": "520-351-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROADS",
        "first_name": "KINDRA",
        "middle_name": "CROCKER",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.