Individual provider Active NPI

Kailie Sage Dugger, PA-C

  • Endocrinology, Diabetes & Metabolism Physician
  • Chandler, AZ
National Provider Identifier
1396570750
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
10668 Issued in AZ
Practice address
2971 W Elliot Rd
Chandler, AZ 85224-1636
Phone
(480) 733-5483
Fax
(480) 733-7080
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 10668 AZ Primary

Addresses

Primary practice location

2971 W Elliot Rd
Chandler, AZ 85224-1636

Mailing address

6385 S Roger Way
Chandler, AZ 85249-4816
Phone (602) 931-0094

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10668AZMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1396570750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 S ROGER WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494816",
            "telephone_number": "602-931-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 W ELLIOT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241636",
            "telephone_number": "480-733-5483",
            "fax_number": "480-733-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGER",
        "first_name": "KAILIE",
        "middle_name": "SAGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "10668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.