Individual provider Active NPI

Sonja Kerth, DNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1407208135
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP8801 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6016
Phone
(602) 494-5155
Fax
(602) 494-5115
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP8801 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6016

Mailing address

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258-3243
Phone (480) 214-9720

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
I20190205003225 AZ Practitioner - Nurse Practitioner 9133467806 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

1215 S Higley Rd
Mesa, AZ 85206-3486
Phone (480) 827-5740

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

1908 E McKellips Rd
Mesa, AZ 85203-2866
Phone (480) 827-5610

1955 W Guadalupe Rd
Suite 101 102
Mesa, AZ 85202-7487
Phone (480) 827-5620

3141 S McClintock Dr
Suite 1
Tempe, AZ 85282-5682
Phone (480) 827-5650

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590

4760 E Thunderbird Rd
Suite 1
Phoenix, AZ 85032-5589
Phone (480) 827-5590

641 W Warner Rd
Gilbert, AZ 85233-7266
Phone (480) 827-5680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP8801AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Sep 1, 2022 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Aug 2, 2021 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Sep 1, 2022 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Sep 1, 2022 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Sep 1, 2022 Accepting new patients
Paradise Valley Family Medicine, PC CurrentSince Dec 15, 2018 Accepting new patients
Desert Valley Radiology, PLC PastSince Dec 15, 2018 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

5018 N 7th St
Phoenix, AZ 85014
Phone (602) 255-7680

11209 N Tatum Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 494-5155

3247 E Bell Rd
Phoenix, AZ 85032
Phone (602) 255-7655

1940 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 255-7690

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 8

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1407208135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD",
            "address_2": "STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286016",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTH",
        "first_name": "SONJA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP8801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.