Individual provider Active NPI

Kendrick Wright, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1326675166
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239534 Issued in AZ
Practice address
1610 W Glendale Ave
Phoenix, AZ 85021-8948
Phone
(480) 985-1093
Fax
(480) 296-7665
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 239534 AZ
Family Nurse Practitioner 363LF0000X 239534 AZ Primary

Addresses

Primary practice location

1610 W Glendale Ave
Phoenix, AZ 85021-8948

Mailing address

PO Box 20610
Mesa, AZ 85277-0610
Phone (480) 985-1093

Other practice location 1

3233 W Peoria Ave Ste 106
Phoenix, AZ 85029-4615
Phone (480) 462-6628

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwright@apm-az.com

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
I20200619001485 AZ Practitioner - Nurse Practitioner 9234551201 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239534AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Palliative Associates of Arizona CurrentSince Aug 1, 2023 Accepting new patients
Brian S Page DO LLC CurrentSince Jul 13, 2020 Accepting new patients
Brian S Page DO LLC CurrentSince Jul 13, 2020 Accepting new patients
Desert Dreams Anesthesia, PLLC Past Accepting new patients

Locations

3011 S Lindsay Rd
Ste 115
Gilbert, AZ 85295
Phone (602) 249-8578

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

1610 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 380-1220

3201 W Peoria Ave
Ste D804
Phoenix, AZ 85029
Phone (523) 295-4905

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

3233 W Peoria Ave
Ste 106
Phoenix, AZ 85029
Phone (480) 462-6628

2701 N 16th St
Ste 111
Phoenix, AZ 85006
Phone (480) 620-1687

14811 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 295-4910

Organizations & group practices 4

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1326675166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20610",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770610",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218948",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3233 W Peoria Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294615",
            "country_code": "US",
            "telephone_number": "480-462-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KENDRICK",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "239534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "239534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwright@apm-az.com",
            "affiliation": "N",
            "address_1": "3233 W Peoria Ave Ste 106",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850294615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.