Active NPI
Kristin Leigh Church, APRN, FNP-C
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F12250240
- Practice address
- 4409 W Gelding Dr
Glendale, AZ 85306-4526 - Phone
- (480) 433-3862
- NPI assigned
- Oct 13, 2025
- Last updated
- Sep 18, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 258783 | AZ | |
| Family Nurse Practitioner | 363LF0000X | F12250240 | AZ | Primary |
Addresses
Primary practice location
4409 W Gelding Dr
Glendale, AZ 85306-4526
Mailing address
4409 W Gelding Dr
Glendale, AZ 85306-4526
Phone (480) 433-3862
Other practice location 1
11022 N 28th Dr Ste 270
Phoenix, AZ 85029-5639
Phone (623) 404-8505
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11022 N 28TH Dr
Suite 270
Phoenix, AZ 85029-5639
Phone (602) 971-0304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258783 | AZ | MD | Registered Nurse |
| F12250240 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wings of Hope Medical Services, LLC | Current | Accepting new patients | |
| Bloomcare PLLC | Current | Accepting new patients |
Locations
11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304
Organizations & group practices 2
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1003282278
-
- Nurse Practitioner
- Glendale, AZ
- NPI 1164380275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1578439113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 W GELDING DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064526",
"telephone_number": "480-433-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 W GELDING DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064526",
"telephone_number": "480-433-3862"
}
],
"practiceLocations": [
{
"address_1": "11022 N 28th Dr Ste 270",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850295639",
"country_code": "US",
"telephone_number": "623-404-8505",
"fax_number": "602-429-8475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHURCH",
"first_name": "KRISTIN",
"middle_name": "LEIGH",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-13",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "258783",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "F12250240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Amber Danielle Chudzik, LAC
- Darren M Chugg, D.M.D., PHARMD
- Pramdashree Chundi, MS PT
- Ravi Kiran Chundi, M.S.
- Christopher James Church, M.D.
- Lynn M Church, NP
- Alyssa Ciampi, BS, FNTP, RWS-3, PWA
- John A. Cianciola I, DDS
- Lori Cieszko
- Cigna Health Care of Arizona Inc. (CMG Paseo Urgent Care, CMG Paseo AHC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.