Katie Pon Rambo, AGAC-DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

NA Issued in AZ

Practice address

1305 N Martin Ave
Tucson, AZ 85721-0001

Phone

(208) 921-5725

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

University of Arizona College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Az Rehab Consultants LLCGroup PAC ID 4385023159, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Az Rehab Consultants, LLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1396383402
  Medicare reassignment Care Compare group NPD
• Lifeline Hospitalist Associates LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1265107478
  Medicare reassignment NPD
• Neeraj Vij MD PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1023283892
  Medicare reassignment NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1447917877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 N GRANITE REEF RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507422",
            "telephone_number": "208-921-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N MARTIN AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "208-921-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBO",
        "first_name": "KATIE",
        "middle_name": "PON",
        "credential": "AGAC-DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF",
            "identifier": "SELF",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katie",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Healthcare Information",
            "address_1": "1305 N Martin Ave",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857210001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramya Ramachandran
• Sivapriya Ramakrishnan, M.D
• Jagan Ramamoorthy, M.D.
• Janaki Ramanathan, DMD
• Zarina Rambish, MS. CCC-SLP
• Ramya Ramesh, MD
• Abigail Joy Ramey, FNP-C
• Jennifer A Ramin, ANP
• Mireyda Ramirez Fernandez
• America Denisse Ramirez Sierra, NP

• Acute Care Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.
• 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.

Verify at the official NPI Registry.