Individual provider Active NPI

Staci P Kilpatrick, FNP

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1477261709
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
283666 Issued in AZ
Practice address
5450 S Lakeshore Dr Ste 109
Tempe, AZ 85283-5511
Phone
(602) 717-0231
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 283666 AZ Primary

Addresses

Primary practice location

5450 S Lakeshore Dr Ste 109
Tempe, AZ 85283-5511

Mailing address

5450 S Lakeshore Dr Ste 109
Tempe, AZ 85283-5511
Phone (602) 717-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283666AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lutz Get Healthy LLC CurrentSince Nov 19, 2022 Accepting new patients

Locations

3501 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 409-5060

Organizations & group practices 1

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1477261709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 S LAKESHORE DR STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835511",
            "telephone_number": "602-717-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 S LAKESHORE DR STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835511",
            "telephone_number": "602-717-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "STACI",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "283666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.