Active NPI
Martha Kay Kieffer, RN, BSN, MS
- Registered Nurse
- Queen Creek, AZ
National Provider Identifier
1215552823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.160476
- Practice address
- 144 W Evergreen Pear Ave
Queen Creek, AZ 85140-7911 - Phone
- (630) 404-7067
- NPI assigned
- Jun 9, 2020
- Last updated
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.160476 | IL | Primary |
Addresses
Primary practice location
144 W Evergreen Pear Ave
Queen Creek, AZ 85140-7911
Mailing address
144 W Evergreen Pear Ave
Queen Creek, AZ 85140-7911
Phone (630) 404-7067
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.160476 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1215552823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 W EVERGREEN PEAR AVE",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851407911",
"telephone_number": "630-404-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W EVERGREEN PEAR AVE",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851407911",
"telephone_number": "630-404-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFFER",
"first_name": "MARTHA",
"middle_name": "KAY",
"credential": "RN, BSN, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.160476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.