Individual provider Active NPI

Kristina Anna Fawcett, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1225307754
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4321 Issued in AZ
Practice address
6501 E Greenway Pkwy
Suite 103-433
Scottsdale, AZ 85254-2065
Phone
(480) 347-0844
Fax
(480) 347-0885
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4321 AZ Primary

Addresses

Primary practice location

6501 E Greenway Pkwy
Suite 103-433
Scottsdale, AZ 85254-2065

Mailing address

6501 E Greenway Pkwy
Suite 103-433
Scottsdale, AZ 85254-2065
Phone (480) 347-0844

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
I20120423000792 AZ Practitioner - Nurse Practitioner 0547422339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Medical Consulting PCGroup PAC ID 8820027352, 8 clinicians

Practice addresses (Care Compare)

6320 W Union Hills Dr
Building a Suite 140
Glendale, AZ 85308-1061
Phone (480) 347-0844

Hospital & facility affiliations

  • Inspiring Home Health, LLC Home health agency, Phoenix, AZ, CCN 037489
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berman Medical Consulting, PC CurrentSince Jan 31, 2012 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 140
Glendale, AZ 85308
Phone (480) 347-0844

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

6501 E Greenway Pkwy
Ste 103433
Scottsdale, AZ 85254
Phone (480) 347-0844

6501 E Greenway Pkwy
Ste 103
Scottsdale, AZ 85254
Phone (602) 494-5015

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1225307754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE 103-433",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE 103-433",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "KRISTINA",
        "middle_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.