Active NPI
Kaitlin Anne Kraemer, PA-C
- Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AZ5266
- Practice address
- 9977 N 90TH St Ste 180
Scottsdale, AZ 85258-4426 - Phone
- (480) 614-5800
- Fax
- (480) 614-6322
- NPI assigned
- Jan 11, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ5266 | AZ | Primary |
Addresses
Primary practice location
9977 N 90TH St Ste 180
Scottsdale, AZ 85258-4426
Mailing address
9977 N 90TH St Ste 180
Scottsdale, AZ 85258-4426
Phone (480) 614-5800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5266 | AZ | MD | General Practice Dentistry |
| AZ5266 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Arizona Inc | Current | Accepting new patients | |
| Comprehensive Interventional Care Centers, PLLC | Current | Accepting new patients |
Locations
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
7620 W Lower Buckeye Rd
Ste 102
Phoenix, AZ 85043
Phone (623) 776-2225
3330 N 2nd St
Ste 502
Phoenix, AZ 85012
Phone (214) 634-0403
4530 E Ray Rd
Ste 190
Phoenix, AZ 85044
Phone (480) 785-0305
3340 W Southern Ave
Ste 131
Phoenix, AZ 85041
Phone (480) 834-8804
16100 N 71st St
Ste 100
Scottsdale, AZ 85254
Phone (480) 656-0016
1492 S Mill Ave
Ste 114
Tempe, AZ 85281
Phone (480) 557-5710
6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460
Organizations & group practices 5
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.
-
- Vascular & Interventional Radiology Physician
- Gilbert, AZ
- NPI 1568803047
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1326470501
-
dba Steward Medical Group of Arizona
- Specialist
- Phoenix, AZ
- NPI 1518137520
-
- Foot & Ankle Surgery Podiatrist
- Tempe, AZ
- NPI 1902644594
-
dba Steward Orthopedic and Sports Medicine
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1558901215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1548507445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9977 N 90TH ST STE 180",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584426",
"telephone_number": "480-614-5800",
"fax_number": "480-614-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9977 N 90TH ST STE 180",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584426",
"telephone_number": "480-614-5800",
"fax_number": "480-614-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAEMER",
"first_name": "KAITLIN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "AZ5266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.