Mayra Kmetz

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

2638357 Issued in AZ

Practice address

8147 N Cedar St
Williams, AZ 86046-9642

Phone

(928) 607-0220

NPI assigned

Apr 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1669762183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 QUARTER HORSE RD",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860469519",
            "telephone_number": "928-607-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 N CEDAR ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860469642",
            "telephone_number": "928-607-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMETZ",
        "first_name": "MAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "2638357",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "2638357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrick O Johnson, D.O.
• Mary Jones
• Jenna Kay, MD
• Allyson Noelle Keen, PHARMD
• Linda Louise Kline, R.N.
• Naomi Konkel
• Melissa H Maslar, MPT
• Colin Jude McNamara, FNP-C
• Katherine Morris, PA
• Moseng Health Care Inc.

• Foster Care Agency in Williams, AZ
• Providers in Williams, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.