Loretta Jo Nevarez-Kells, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP6844 Issued in AZ

Practice address

19646 N 27TH Ave
Ste. # 403
Phoenix, AZ 85027-4017

Phone

(623) 587-4868

Fax

(623) 582-5300

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1689701682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD",
            "address_2": "SUITE # 350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185877",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "STE. # 403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-587-4868",
            "fax_number": "623-582-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ-KELLS",
        "first_name": "LORETTA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN047854",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP6844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "619728",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurosurgical Associates, LTD
• Neutrino LLC
• Nevaeh'S LLC
• Moises Ilan Nevah Rubin, MD
• Diego Armando Nevarez Ruiz
• Crystal Annette Nevarez
• Madelyn Neves, LCSW
• Frank R Neville, ATC
• Rachel Thurston Neville, D.O.
• Yolanda Neville

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.