Individual provider Active NPI

Kaylee Costello Dunn

  • Social Worker
  • Chandler, AZ
National Provider Identifier
1649561101
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8269176-3502 Issued in UT
Practice address
3180 S Gilbert Rd Ste 1
Chandler, AZ 85286-5105
Phone
(801) 785-8885
NPI assigned
May 2, 2011
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 8269176-3502 UT Primary

Addresses

Primary practice location

3180 S Gilbert Rd Ste 1
Chandler, AZ 85286-5105

Mailing address

496 E Via Puente de Las Rosas
Sahuarita, AZ 85629-8876
Phone (480) 276-2329

Other practice location 1

199 N 290 W Ste 150
Lindon, UT 84042
Phone (855) 229-2336

Other practice location 2

750 North 200 West
Suite 300
Provo, UT 84601
Phone (801) 373-4760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8269176-3502UTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1649561101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 E VIA PUENTE DE LAS ROSAS",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298876",
            "telephone_number": "480-276-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 S GILBERT RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865105",
            "telephone_number": "801-785-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 N 290 W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lindon",
            "state": "UT",
            "postal_code": "84042",
            "country_code": "US",
            "telephone_number": "855-229-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 North 200 West",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "84601",
            "country_code": "US",
            "telephone_number": "801-373-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KAYLEE",
        "middle_name": "COSTELLO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "8269176-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.