Active NPI
Audrey J Kessay, R.N.
- Community Health Registered Nurse
- Whiteriver, AZ
National Provider Identifier
1508146366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN065782
- Practice address
- 200 West Hospital Drive
PHN Department
Whiteriver, AZ 85941 - Phone
- (928) 338-4911
- Fax
- (928) 338-3681
- NPI assigned
- Aug 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN065782 | AZ | Primary |
Addresses
Primary practice location
200 West Hospital Drive
PHN Department
Whiteriver, AZ 85941
Mailing address
200 West Hopsital Drive PO Box 860
Indian Health Service
Whiteriver, AZ 85941
Phone (928) 338-3684
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN065782 | AZ | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1508146366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST HOPSITAL DRIVE PO BOX 860",
"address_2": "INDIAN HEALTH SERVICE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-3684",
"fax_number": "928-338-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST HOSPITAL DRIVE",
"address_2": "PHN DEPARTMENT",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-4911",
"fax_number": "928-338-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSAY",
"first_name": "AUDREY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "AZ",
"license": "RN065782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.