Kelly Lime Brannan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2701 Issued in AZ

Practice address

14155 N 83Rd Ave Ste 122
Peoria, AZ 85381-5640

Phone

(623) 773-1161

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Arizona Gastroenterology Clinic LLC

  • Gastroenterology Physician
  • Peoria, AZ
  • NPI 1649539255

  AZ

  Medicare reassignment
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD (past)
• Phoenix Family Physicians, LTD.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821272683
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1366476004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13014 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225124",
            "telephone_number": "623-703-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 122",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815640",
            "telephone_number": "623-773-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIME BRANNAN",
        "first_name": "KELLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tre Macio Lewis
• LHCG Lvi, LLC
• Life Care Centers of America, Inc.
• Life Care Centers of America, Inc.
• Lou Ligabo
• Eric Scott Limkemann, D.O.
• Lily Anna Limon, FNP-C
• Mindy G Lind, PHARM D, RPH
• Valerie Lindquist, PT, DPT
• Juvi T Lindsey, APN

• All providers in Peoria, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.