Kent L/ Lingafelter, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8967 Issued in AZ

Practice address

8950 S 52ND St Ste 107
Tempe, AZ 85284-1042

Phone

(480) 590-2451

Fax

(480) 590-6897

NPI assigned

Jun 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Kenton L Lingafelter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kent.lingafelter@78667879677956.direct.elationemr.com

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1508127606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 S 52ND ST STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841042",
            "telephone_number": "480-543-2034",
            "fax_number": "480-590-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 S 52ND ST STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841042",
            "telephone_number": "480-590-2451",
            "fax_number": "480-590-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGAFELTER",
        "first_name": "KENT",
        "middle_name": "L/",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN098048",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENTON",
            "last_name": "LINGAFELTER",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "ACNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Acute Care Nurse Practitioner in Tempe, AZ
• Providers in Tempe, 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 Jun 21, 2022; 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.