Kacey M Ekman, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP2760 Issued in AZ

Practice address

1680 S 20TH Ave
Safford, AZ 85546-4011

Phone

(928) 428-1377

NPI assigned

Jul 21, 2007

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gila Valley Clinic PC

  dba Gila Valley Clinic

  • Rural Health Clinic/Center
  • Safford, AZ
  • NPI 1740767664
  NPD (past)
• Gila Valley Clinic, PC

  • Family Medicine Physician
  • Safford, AZ
  • NPI 1255510228
  NPD (past)

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1679773287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-428-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-428-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKMAN",
        "first_name": "KACEY",
        "middle_name": "M",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP2760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778563",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DSW Enterprises Inc (Walton Drug)
• Alexander Eddo, PHAMD
• Eden Home Health of Safford, LLC (Eden Home Health)
• Eden Hospice at Sierra Vista, LLC (Eden Hospice)
• John Kevin Ekman, FNP- C, PMHNP
• Elkins ASC LLC (Gila Valley Procedure Center)
• Nicholas Elkins, D.O.
• Jeffrey Mark Erfe, MD
• Michael Evans, PA-C
• Yunmi Evans

• Pediatric Nurse Practitioner in Safford, AZ
• Providers in Safford, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.