Jennifer Natasha Kunz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

222446 Issued in AZ

Practice address

Cleanslate
8410 W. Thomas Rd
Phoenix, AZ 85037

Phone

(480) 417-5289

NPI assigned

Apr 3, 2019

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleanslate Medical Group of Arizona PLLCGroup PAC ID 6901183235, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Cleanslate Medical Group of Arizona PLLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1801421656
  Medicare reassignment Care Compare group NPD
• Cleanslate Medical Group of Arizona PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1326585662
  NPD
• Cleanslate Medical Group of Arizona PLLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1376178129
  NPD
• Cleanslate Medical Group of Arizona PLLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1245865096
  NPD (past)
• Total Wellness Centers, LLC

  • Clinical Medical Laboratory
  • Holyoke, MA
  • NPI 1770020018
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1578025136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373329",
            "telephone_number": "480-417-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLEANSLATE",
            "address_2": "8410 W. THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "480-417-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "JENNIFER",
        "middle_name": "NATASHA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leander Kung, LMT
• Sandra M Kuniyoshi, MD
• Rama M Kunkle, DO
• Tanya Kunnappilly, LMSW
• Samantha Kunselman, ND
• Celeste C Kuo, MD
• Kimberly Ann Kuopus, NP-C
• Olga P Kurdelchuk, PHARM.D
• Andrea K Kurelowech, DC
• Jessica Kuretich

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.