Active NPI
North Valley Pediatrics PC
- Pediatrics Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19585
- Legal business name
- NORTH VALLEY PEDIATRICS PC
- Practice address
- 14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387 - Phone
- (602) 482-7311
- Fax
- (602) 482-7314
- NPI assigned
- Jan 8, 2009
- Last updated
- Jan 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joann Kolnick, M.D.
- Title
- Practice Administrator
- Phone
- (602) 290-7190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19585 | AZ | Primary |
Addresses
Primary practice location
14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387
Mailing address
14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387
Phone (602) 482-7311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ19585 | Other | AZ | STATE LICENSE |
| 001529 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
10585 N Tatum Blvd
Ste D137
Paradise Vly, AZ 85253
Phone (480) 948-8523
14045 N 7th St
Ste 2
Phoenix, AZ 85022
Phone (602) 482-7311
702 E Bell Rd
Ste 115
Phoenix, AZ 85022
Phone (602) 482-7311
702 E Bell Rd
Ste 117
Phoenix, AZ 85022
Phone (602) 482-7311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1861430365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548288000000",
"number": "1578700852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14045 N 7TH ST STE 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224387",
"telephone_number": "602-482-7311",
"fax_number": "602-482-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14045 N 7TH ST STE 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224387",
"telephone_number": "602-482-7311",
"fax_number": "602-482-7314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VALLEY PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-08",
"last_updated": "2019-01-24",
"status": "A",
"authorized_official_last_name": "KOLNICK",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "602-290-7190",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "19585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AZ19585",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001529",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- North Valley Orthodontics PLLC
- North Valley Orthopedic Surgery Center LLC (The Orthopedic Surgery Center of Arizona)
- North Valley Outpatient Surgery Center
- North Valley Pain Center PLLC
- North Valley Pediatric Therapy, LLC (Odyssey Autism ABA Therapy)
- North Valley Pharmacy LLC
- North Valley Physicians Group, LLC
- North Valley Podiatry LLC
- North Valley Podiatry, LLC
- North Valley Psychiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.