Individual provider Active NPI

Kaitlin Callaghan, FNP

  • Primary Care Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1194371955
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
230371 Issued in AZ
Practice address
150 N Verde St Ste 101
Flagstaff, AZ 86001-5257
Phone
(928) 233-8801
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 230371 AZ
Primary Care Nurse Practitioner 363LP2300X 230371 AZ Primary

Addresses

Primary practice location

150 N Verde St Ste 101
Flagstaff, AZ 86001-5257

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 792-9890

Other practice location 1

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 792-9890

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105002966 AZ Practitioner - Certified Nurse Midwife (CNM) 5193057420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Whole Family Health PLLCGroup PAC ID 5395192637, 3 clinicians

Practice addresses (Care Compare)

150 N Verde St
Suite 101
Flagstaff, AZ 86001-5257
Phone (619) 218-9490

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
230371AZMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Whole Family Health PLLC CurrentSince Jul 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Sep 3, 2019 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Sep 3, 2019 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

150 N Verde St
Ste 101
Flagstaff, AZ 86001
Phone (619) 218-9490

4550 S Palo Verde Rd
Bldg 1
Tucson, AZ 85714

5979 E Grant Rd
Ste 107
Tucson, AZ 85712
Phone (520) 535-2588

434 E University Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 309-4250

101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

101 W Irvington Rd
Bldg 10
Tucson, AZ 85714
Phone (520) 309-4585

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

Interoperability endpoints

  • Direct secure messaging: kaitlin.callaghan.1@29090.direct.athenahealth.com

Organizations & group practices 7

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1194371955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-792-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N VERDE ST STE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015257",
            "telephone_number": "928-233-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452819",
            "country_code": "US",
            "telephone_number": "520-792-9890",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "KAITLIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "230371",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "230371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.