Active NPI
Patricia Kate Paradis, FNP-C
- Family Health Clinical Nurse Specialist
- Phoenix, AZ
National Provider Identifier
1174719397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- AP-2828
- Practice address
- 10046 N Metro Pkwy W
Suite 115
Phoenix, AZ 85051-1437 - Phone
- (602) 674-5515
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | AP-2828 | AZ | Primary |
Addresses
Primary practice location
10046 N Metro Pkwy W
Suite 115
Phoenix, AZ 85051-1437
Mailing address
8377 E Hartford Dr Suite 120
Lung Institute
Phoenix, AZ 85255
Phone (480) 378-6702
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP-2828 | AZ | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KM Healthcare LLC | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1497048623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1174719397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8377 E HARTFORD DR SUITE 120",
"address_2": "LUNG INSTITUTE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85255",
"telephone_number": "480-378-6702",
"fax_number": "480-378-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10046 N METRO PKWY W",
"address_2": "SUITE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511437",
"telephone_number": "602-674-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARADIS",
"first_name": "PATRICIA",
"middle_name": "KATE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "AZ",
"license": "AP-2828",
"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 Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.