Individual provider Active NPI

Deborah Lynn Kirkpatrick, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1649408873
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3291 Issued in AZ
Practice address
3367 S Mercy Rd
Suite 101
Gilbert, AZ 85297
Phone
(602) 685-5211
Fax
(602) 685-5325
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3291 AZ Primary

Addresses

Primary practice location

3367 S Mercy Rd
Suite 101
Gilbert, AZ 85297

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 266-7770

Other practice location 1

20940 N Tatum Blvd Ste 100
Phoenix, AZ 85050-7259
Phone (602) 685-5211

Other practice location 2

1940 E Southern Ave
Tempe, AZ 85282-7518
Phone (602) 685-5211

Other practice location 3

6003 E Baseline Rd
Mesa, AZ 85206-4815
Phone (602) 685-5211

Other names 1

  • Deborah Lynn Jones Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000156 AZ Practitioner - Nurse Practitioner 9032261334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clin-Path Pathology CurrentSince Sep 7, 2014 Accepting new patients
Pathology Specialist of Arizona, LLP CurrentSince Sep 7, 2014 Accepting new patients

Locations

3367 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 899-2571

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6003 E Baseline Rd
Mesa, AZ 85206
Phone (480) 641-6500

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

20940 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 253-5660

4313 E Cotton Center Blvd
Ste 120
Phoenix, AZ 85040
Phone (312) 721-3526

1255 W Washington St
Tempe, AZ 85288
Phone 602685521145166

1940 E Southern Ave
Tempe, AZ 85282
Phone (480) 292-8541

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1649408873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "623-266-7770",
            "fax_number": "623-322-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20940 N Tatum Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507259",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827518",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6003 E Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064815",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "JONES",
            "middle_name": "LYNN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.