Active NPI
Kristin Schoolman Anderson, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 46635
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016 - Phone
- (602) 933-5631
- Fax
- (602) 933-5656
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2006016937 | MO | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 7392269 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 46635 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729582 | Medicaid | AZ |
Other names 1
- Kristin Erin Schoolman
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006016937 | MO | MD | Pediatrics Physician |
| 7392269 | UT | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Hospital | Pediatrics | Current | Accepting new patients |
| Phoenix Children's Hospital Hope | Past | Accepting new patients |
Locations
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
1919 E Thomas Rd
Bldg E
Phoenix, AZ 85016
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
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 and National Provider Directory roles.
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Pharmacy
- Phoenix, AZ
- NPI 1386749836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1437323144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E CAMELBACK RD STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182327",
"telephone_number": "602-933-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-933-5631",
"fax_number": "602-933-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KRISTIN",
"middle_name": "SCHOOLMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2006016937",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "UT",
"license": "7392269",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "AZ",
"license": "46635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "729582",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SCHOOLMAN",
"middle_name": "ERIN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.