Individual provider Active NPI

Elizabeth Kearney, RN, NO-C

  • Family Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1245818640
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
251443 Issued in AZ
Practice address
847 N Sunset Rd
Apache Junction, AZ 85119-7864
Phone
(480) 528-2736
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 251443 AZ Primary

Addresses

Primary practice location

847 N Sunset Rd
Apache Junction, AZ 85119-7864

Mailing address

847 N Sunset Rd
Apache Junction, AZ 85119-7864
Phone (480) 528-2736

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heavens Medical PLC CurrentSince Jun 6, 2021 Accepting new patients

Locations

95 S Idaho Rd
Ste 140
Apache Junction, AZ 85119
Phone (480) 444-1160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21922/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1245818640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 N SUNSET RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851197864",
            "telephone_number": "480-528-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 N SUNSET RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851197864",
            "telephone_number": "480-528-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "ELIZABETH",
        "credential": "RN, NO-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "251443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.