Jennifer Kathleen Beatty-Kwan, MD PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

71124 Issued in AZ

Practice address

14574 S Sunland Gin Rd
Arizona City, AZ 85123

Phone

(520) 387-5651

NPI assigned

Aug 29, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Calgary, Faculty of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Senita Community Health CenterGroup PAC ID 3476441866, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ajo, AZ
  • NPI 1114037496
  Medicare reassignment Care Compare group NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1447124326
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1548794142
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891512927
  NPD (past)
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Stanfield, AZ
  • NPI 1932974672
  NPD (past)

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1225862402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MALACATE ST",
            "city": "AJO",
            "state": "AZ",
            "postal_code": "853212254",
            "telephone_number": "520-387-5651",
            "fax_number": "520-387-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14574 S SUNLAND GIN RD",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "85123",
            "telephone_number": "520-387-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY-KWAN",
        "first_name": "JENNIFER",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "71124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Counseling & Treatment Services, L.L.C.
• Arizona's Pinal County Youth @ Cababi House
• Lee Anne Barbara, MAED, MA, LAC
• Elisa Barbosa
• Amori Marche'T Barth
• Bradley Paul Burke, D.C.
• Burton Healthcare Services
• George Carroll
• CCR Intergrated Health
• Rekha Cheriyan, FNP-C

• Family Medicine Physician in Arizona City, AZ
• Providers in Arizona City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.