Liliana Kettenburg

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

283861 Issued in AZ

Practice address

7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456

Phone

(480) 513-1042

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Edlc, LLC

  dba Endocrinology, Diabetes and Longevity Center of Arizona, PLC.

  • Endocrinology, Diabetes & Metabolism Physician
  • Scottsdale, AZ
  • NPI 1154804243
  Medicare reassignment NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1548970817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 E VIA DE VENTURA APT 1001",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586601",
            "telephone_number": "570-986-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7344 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557456",
            "telephone_number": "480-513-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTENBURG",
        "first_name": "LILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "283861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Pierce Kessler, FNP
• Maury Kessler, O.D.
• Suzanne Lynn Kessner, P.T.
• Raymond H Ketcham, FNP
• Kathleen Ketelson, FNP
• Ketteys Exchange for Children and Women Resources
• Kathleen Beverly Keung
• Kevin a Fuciarelli MD PC
• Kevin Concannon LLC (E. M. Diagnostics)
• Kevin Forey MD, PLLC

• Adult Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.