Active NPI
Kma Medical Aesthetics LLC
- Certified Registered Nurse Anesthetist
- Prescott, AZ
National Provider Identifier
1386507804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- KMA MEDICAL AESTHETICS LLC
- Practice address
- 1955 Commerce Center Cir Ste C
Prescott, AZ 86301-7410 - Phone
- (928) 929-2142
- NPI assigned
- Dec 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen Arnold, CRNA, APRN
- Title
- Owner
- Phone
- (909) 659-5025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1955 Commerce Center Cir Ste C
Prescott, AZ 86301-7410
Mailing address
13215 N Trail Blazer Dr
Prescott, AZ 86305-7964
Phone (909) 659-5025
Other names 1
- Knockout Medical Aesthetics
National Provider Directory
National Provider DirectoryLocations
1955 Commerce Center Cir
Ste C
Prescott, AZ 86301
Phone (928) 929-2142
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1598384505
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1386507804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 N TRAIL BLAZER DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057964",
"telephone_number": "909-659-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 COMMERCE CENTER CIR STE C",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863017410",
"telephone_number": "928-929-2142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMA MEDICAL AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-659-5025",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNA, APRN"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Knockout Medical Aesthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.