Individual provider Active NPI

Kathleen Michele Preston, NP

  • Adult Health Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1376891432
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP11110 Issued in AZ
Practice address
210 E Cottonwood LN
Casa Grande, AZ 85122-2514
Phone
(480) 983-0065
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19764 CA
Adult Health Nurse Practitioner 363LA2200X AP11110 AZ Primary

Addresses

Primary practice location

210 E Cottonwood LN
Casa Grande, AZ 85122-2514

Mailing address

725 S Dobson Rd Ste 100
Chandler, AZ 85224-5676
Phone (602) 795-8700

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
I20230622002571 AZ Practitioner - Nurse Practitioner 1456501212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

725 S Dobson Rd
Suite 100
Chandler, AZ 85224-5676
Phone (602) 795-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19764CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Pain Specialists LLC CurrentSince Apr 14, 2025 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Apr 14, 2025 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Equality Medical Group LLC Past Accepting new patients
Elite Anesthesia LLC Past Accepting new patients
Equality Health at Home Inc PastSince May 1, 2023 Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

Organizations & group practices 9

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1376891432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S DOBSON RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245676",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E COTTONWOOD LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222514",
            "telephone_number": "480-983-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "KATHLEEN",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "19764",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP11110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.