Active NPI
Khali Stults
- Psychiatric/Mental Health Nurse Practitioner
- Parker, AZ
National Provider Identifier
1669376802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 346100
- Practice address
- 1200 W Mohave Rd
Parker, AZ 85344-6349 - Phone
- (928) 669-9201
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 346100 | AZ | Primary |
Addresses
Primary practice location
1200 W Mohave Rd
Parker, AZ 85344-6349
Mailing address
1200 W Mohave Rd
Parker, AZ 85344-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1669376802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W MOHAVE RD",
"city": "PARKER",
"state": "AZ",
"postal_code": "853446349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MOHAVE RD",
"city": "PARKER",
"state": "AZ",
"postal_code": "853446349",
"telephone_number": "928-669-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTS",
"first_name": "KHALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "346100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.