Organization Active NPI

Kenton L. Lingafelter

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1164936464
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
KENTON L. LINGAFELTER
Practice address
4530 E Shea Blvd Ste 175
Phoenix, AZ 85028-6084
Phone
(480) 320-4730
Fax
(602) 971-2147
NPI assigned
Nov 22, 2017
Last updated
Nov 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Cindy Richardson, RN
Title
Executive Director
Phone
(480) 320-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

4530 E Shea Blvd Ste 175
Phoenix, AZ 85028-6084

Mailing address

4530 E Shea Blvd Ste 175
Phoenix, AZ 85028-6084
Phone (480) 320-4730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1164936464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286084",
            "telephone_number": "480-320-4730",
            "fax_number": "602-971-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286084",
            "telephone_number": "480-320-4730",
            "fax_number": "602-971-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON L. LINGAFELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-320-4730",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "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 Nov 22, 2017; 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.