Organization Active NPI

North Valley Pediatrics PC

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1578700852
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19585 Issued in AZ
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AZ19585OtherAZSTATE LICENSE
001529MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.