Individual provider Active NPI

Kayla Jacqueline Cartwright

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1174392443
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035475 Issued in OH
Practice address
410 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 292-4041
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035475 OH Primary

Addresses

Primary practice location

410 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

2958 Progress Park Dr
Stow, OH 44224-2124
Phone (234) 380-7160

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
I20240610001630 AZ Practitioner - Nurse Practitioner 7416499181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians

Practice addresses (Care Compare)

20950 N Tatum Blvd
Suite 380
Phoenix, AZ 85050-4258
Phone (480) 626-7584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035475OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 626-2024

2046 W Riverview Auto Dr
Ste 401
Mesa, AZ 85201

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

1860 N 95th Ln
Ste 300
Phoenix, AZ 85037

36457 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 494-6622

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Organizations & group practices 1

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1174392443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 PROGRESS PARK DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242124",
            "telephone_number": "234-380-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-292-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "KAYLA",
        "middle_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.