Individual provider Active NPI

Deirdre Demaris Freeman-Khairallah, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1568721801
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4228 Issued in AZ
Practice address
7301 E 2ND St
Ste 200
Scottsdale, AZ 85251-5610
Phone
(602) 428-8888
Fax
(602) 566-8149
NPI assigned
May 7, 2012
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4228 AZ Primary

Addresses

Primary practice location

7301 E 2ND St
Ste 200
Scottsdale, AZ 85251-5610

Mailing address

7301 E 2ND St Ste 200
Scottsdale, AZ 85251-5610
Phone (602) 428-8888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000397 AZ Practitioner - Nurse Practitioner 5496905333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4228AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince Apr 12, 2022 Accepting new patients
Circle the City Current Accepting new patients
Circle the City CurrentSince Apr 12, 2022 Accepting new patients
Partners in Recovery, LLC Past Accepting new patients

Locations

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

Interoperability endpoints

  • Direct secure messaging: deirdre.freeman-khairallah.1@11818.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1568721801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515610",
            "telephone_number": "602-428-8888",
            "fax_number": "602-566-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515610",
            "telephone_number": "602-428-8888",
            "fax_number": "602-566-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-KHAIRALLAH",
        "first_name": "DEIRDRE",
        "middle_name": "DEMARIS",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.