Organization Active NPI

Family Tree Health Care International

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1639971575
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAMILY TREE HEALTH CARE INTERNATIONAL
Practice address
5201 N 19TH Ave
Phoenix, AZ 85015-2951
Phone
(602) 704-4130
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Dartez
Title
President
Phone
(480) 529-1686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

5201 N 19TH Ave
Phoenix, AZ 85015-2951

Mailing address

5351 S Mill Ave
Tempe, AZ 85283-1802
Phone (602) 859-1999

National Provider Directory

National Provider Directory

Locations

5201 N 19th Ave
Phoenix, AZ 85015
Phone (404) 447-0127

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": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1639971575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831802",
            "telephone_number": "602-859-1999",
            "fax_number": "602-268-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152951",
            "telephone_number": "602-704-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE HEALTH CARE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "DARTEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-529-1686"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 24, 2025; 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.