Individual provider Active NPI

Renee Heather Kania, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1184940652
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP9554 Issued in AZ
Practice address
1300 N 12TH St
Suite 301
Phoenix, AZ 85006
Phone
(602) 839-6968
Fax
(602) 839-4144
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3546 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9554 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
Suite 301
Phoenix, AZ 85006

Mailing address

1125 E Blue Spruce LN
Gilbert, AZ 85298-7302
Phone (860) 881-6795

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
I20121128000558 AZ Practitioner - Nurse Practitioner 6204088123 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians
Southwest Behavioral Health Services IncGroup PAC ID 9739075854, 49 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 200
Peoria, AZ 85345-5470
Phone (602) 636-4605

1424 S 7TH Ave
BLDG a
Phoenix, AZ 85007-3902
Phone (602) 257-1558

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. CurrentSince Apr 9, 2018 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 8, 2016 Accepting new patients
Recovery Innovations, Inc CurrentSince Dec 17, 2021 Accepting new patients
Emergency Professional Services PC CurrentSince Oct 6, 2012 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Emergency Professional Services PC CurrentSince Oct 6, 2012 Accepting new patients
Recovery Innovations, Inc CurrentSince Dec 17, 2021 Accepting new patients
Connectionsaz, LLC CurrentSince Nov 1, 2016 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 8, 2016 Accepting new patients
Emergency Professional Services PC Current Accepting new patients
Connectionsaz, LLC CurrentSince Nov 1, 2016 Accepting new patients
Resilient Health, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

477 E Broadway Ave
Bldg 12
Apache Junction, AZ 85119

115 W 2nd St
Casa Grande, AZ 85122
Phone (520) 836-1688

120 W Main St
Casa Grande, AZ 85122
Phone (520) 836-1675

222 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 421-9910

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

450 W Adamsville Rd
Florence, AZ 85132
Phone (520) 296-7169

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

2701 N 16th St
Ste 316
Phoenix, AZ 85006

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

1424 S 7th Ave
Bldg A
Phoenix, AZ 85007
Phone (602) 257-1558

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968

1424 S 7th Ave
Bldg B
Phoenix, AZ 85007
Phone (602) 257-8970

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: renee.kania@mfamd-az.direct.office.nextgen.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1184940652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E BLUE SPRUCE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987302",
            "telephone_number": "860-881-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-839-6968",
            "fax_number": "602-839-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIA",
        "first_name": "RENEE",
        "middle_name": "HEATHER",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3546",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.