Individual provider Active NPI

Kripa Neupane, NP

  • Acute Care Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1285381301
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RNP273587 Issued in AZ
Practice address
13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626
Phone
(602) 806-6146
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN212579 AZ
Acute Care Nurse Practitioner 363LA2100X RNP273587 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626

Mailing address

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626
Phone (602) 806-6146

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
I20230105001179 AZ Practitioner - Nurse Practitioner 7113397241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN212579AZMDRegistered Nurse
RNP273587AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Clinic of Goodyear LLC CurrentSince Sep 13, 2022 Accepting new patients
Leading Healthcare, LLC Acute Care Past Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

Organizations & group practices 2

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1285381301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "602-806-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "602-806-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "KRIPA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN212579",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "RNP273587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.