Active NPI
Channing J Kay, BSN, DNP-PMHNP.
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1346905650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 283630
- Practice address
- 4909 E McDowell Rd
Phoenix, AZ 85008-4227 - Phone
- (602) 685-6000
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 28252709A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 283630 | AZ | Primary |
Addresses
Primary practice location
4909 E McDowell Rd
Phoenix, AZ 85008-4227
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221208001443 | AZ | Practitioner - Nurse Practitioner | 8022487339 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Terros, Inc.
Practice addresses (Care Compare)
4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone (602) 685-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28252709A | IN | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terros Inc | Current | Accepting new patients | |
| Terros, Inc. | Current | Accepting new patients | |
| Terros Inc | Current | Accepting new patients |
Locations
4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591
3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015
Interoperability endpoints
- channing.kay.p1@direct.terros.nextgenshare.com
Organizations & group practices 17
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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1215720750
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1265959951
-
- Federally Qualified Health Center (FQHC)
- Tempe, AZ
- NPI 1598531378
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1518734169
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1932975059
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1053142018
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1134950066
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1194556845
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1194582882
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1235590712
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1699173245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1346905650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122929",
"telephone_number": "602-685-6000",
"fax_number": "602-389-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084227",
"telephone_number": "602-685-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "CHANNING",
"middle_name": "J",
"credential": "BSN, DNP-PMHNP.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "IN",
"license": "28252709A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "283630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.