Individual provider Active NPI

Kathleen A Lupone, RN,FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1457358764
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN040006 Issued in AZ
Practice address
5111 N Scottsdale Rd Ste 203
Scottsdale, AZ 85250-7077
Phone
(480) 771-3400
Fax
(602) 753-3042
NPI assigned
Jun 30, 2005
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 RN040006 AZ Primary

Addresses

Primary practice location

5111 N Scottsdale Rd Ste 203
Scottsdale, AZ 85250-7077

Mailing address

5017 W Aster Dr
Glendale, AZ 85304-2013
Phone (602) 978-6349

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
I20190910003233 AZ Practitioner - Nurse Practitioner 7719101047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livi Medical Services LLCGroup PAC ID 8820283039, 11 clinicians

Practice addresses (Care Compare)

3030 N Central Ave
Suite 1200
Phoenix, AZ 85012-2745
Phone (480) 607-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.32 of 100Reported as group
Quality
56.63
Promoting interoperability
0
Improvement activities
0
Cost
69.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosin PLLC CurrentSince Feb 1, 2020 Accepting new patients
Livi Medical Services LLC CurrentSince Feb 9, 2020 Accepting new patients
Phoenician Hospice LLC PastSince Jul 18, 2016 Accepting new patients

Locations

3507 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 926-0644

3030 N Central Ave
Ste 1200
Phoenix, AZ 85012
Phone (480) 607-0606

6380 E Thomas Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 607-0606

Interoperability endpoints

  • Direct secure messaging: kathleen.lupone.1@27970.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1457358764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 W ASTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042013",
            "telephone_number": "602-978-6349",
            "fax_number": "602-978-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507077",
            "telephone_number": "480-771-3400",
            "fax_number": "602-753-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPONE",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN040006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.