Individual provider Active NPI

Kaitlyn Henkle

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
National Provider Identifier
1366346819
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641
Phone
(602) 870-7470
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641

Mailing address

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641
Phone (602) 870-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1366346819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204641",
            "telephone_number": "602-870-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204641",
            "telephone_number": "602-870-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKLE",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.