Active NPI
Fit Health Care LLC
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1386810216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3533
- Legal business name
- FIT HEALTH CARE LLC
- Practice address
- 300 W Clarendon Ave
Ste 145
Phoenix, AZ 85013-3420 - Phone
- (602) 279-5049
- Fax
- (602) 279-5720
- NPI assigned
- Apr 30, 2008
- 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
- Kandi Gamerdinger, FNP
- Title
- Owner
- Phone
- (602) 279-5049
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3533 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
Ste 145
Phoenix, AZ 85013-3420
Mailing address
300 W Clarendon Ave
Ste 145
Phoenix, AZ 85013-3420
Phone (602) 279-5049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568766 | Medicaid | AZ | |
| 505945 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1082647 | Fit Health Care, PLC | Certificate of waiver | Apr 14, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/11218/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1841681608
-
- Neurology Physician
- Paradise Valley, AZ
- NPI 1104985936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1386810216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-279-5049",
"fax_number": "602-279-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-279-5049",
"fax_number": "602-279-5720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "GAMERDINGER",
"authorized_official_first_name": "KANDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-279-5049",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "568766",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505945",
"state": "AZ"
}
],
"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 Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.