Kyla Mae McCallister

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP042966 Issued in AZ

Practice address

5836 E Holmes Ave
Mesa, AZ 85206-6835

Phone

(480) 277-4438

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1598902058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 E HOLMES AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066835",
            "telephone_number": "480-277-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 E HOLMES AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066835",
            "telephone_number": "480-277-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "KYLA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP042966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen McBride, CRNA, FNP
• Ashley McCabe, PA-C, MPAS
• Madison McCabe
• Thomas E. McCall Jr., M.D.
• Alicia S McCallen, OD
• Lisa McCann-Smiles, LMSW
• Colleen A McCarter, FNP
• Carley McCarthy, PMHNP
• Marianne Cathleen McCarthy, PH.D., NP
• Megan McCarthy

• Licensed Practical Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.