Individual provider Active NPI

Kayla Johnson, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1255893558
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3225 N Civic Center PLZ Ste 1
Scottsdale, AZ 85251-6919
Phone
(480) 246-3000
Fax
(480) 246-3100
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

3225 N Civic Center PLZ Ste 1
Scottsdale, AZ 85251-6919

Mailing address

3225 N Civic Center PLZ Ste 1
Scottsdale, AZ 85251-6919
Phone (480) 246-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190530000219 AZ Practitioner - Physician Assistant 6709129042 Reassigns benefits to 1 organization
I20221028000889 WA Practitioner - Physician Assistant 6709129042 Reassigns benefits to 1 organization
I20241113002579 TN Practitioner - Physician Assistant 6709129042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ap of Nashville, LLCGroup PAC ID 7012206733, 20 clinicians

Practice addresses (Care Compare)

2000 Glen Echo Rd
Suite 111
Nashville, TN 37215-2857
Phone (615) 657-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7461AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 5, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 2, 2020 Accepting new patients
Multicare Health System CurrentSince Oct 5, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 2, 2020 Accepting new patients
Florida Practitioners, LLC Past Accepting new patients

Locations

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

10210 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 882-7750

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3225 N Civic Center Plz
Ste 1
Scottsdale, AZ 85251
Phone (480) 447-3708

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: kjohnson681290@direct.multicare.org

Organizations & group practices 8

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 1

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1255893558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N CIVIC CENTER PLZ STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516919",
            "telephone_number": "480-246-3000",
            "fax_number": "480-246-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N CIVIC CENTER PLZ STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516919",
            "telephone_number": "480-246-3000",
            "fax_number": "480-246-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.