Individual provider Active NPI

Julia Annette Kieffer

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1407387442
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10404 Issued in AZ
Practice address
1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664
Phone
(480) 410-4128
Fax
(480) 410-4130
NPI assigned
Mar 22, 2017
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10404 AZ
Family Nurse Practitioner 363LF0000X AP10404 AZ Primary
Emergency Registered Nurse 163WE0003X RN113054 AZ

Addresses

Primary practice location

1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664

Mailing address

7000 N 16TH St # 120-228
Phoenix, AZ 85020-5512
Phone (480) 410-4128

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
I20180214001517 AZ Practitioner - Nurse Practitioner 2466712328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Be Well Family CareGroup PAC ID 2163844986, 9 clinicians

Practice addresses (Care Compare)

1492 S Mill Aveune
Suite 212
Tempe, AZ 85281-5664
Phone (480) 410-4128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN113054AZMDEmergency Registered Nurse
AP10404AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Family Care Current Accepting new patients
Be Well Family Care Family CurrentSince Jun 1, 2020 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jan 14, 2020 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jan 14, 2020 Accepting new patients

Locations

3402 N Central Ave
Phoenix, AZ 85012
Phone (480) 410-4128

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

7000 N 16th St
#120228
Phoenix, AZ 85020

10446 N 74th St
Ste 140
Scottsdale, AZ 85258
Phone (602) 441-2778

1492 S Mill Ave
Ste 212
Tempe, AZ 85281
Phone (480) 410-4128

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

1845 E Broadway Rd
Ste 116
Tempe, AZ 85282
Phone (480) 499-0102

40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julia.kieffer.1@22341.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1407387442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST # 120-228",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205512",
            "telephone_number": "480-410-4128",
            "fax_number": "480-480-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 212",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "480-410-4128",
            "fax_number": "480-410-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "JULIA",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10404",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN113054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.