Active NPI
Patrick M Kuritz, DNP, MPH, ANP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Peoria, AZ
National Provider Identifier
1710191168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP5533
- Practice address
- 11361 N 99TH Ave
Suite 402
Peoria, AZ 85345-5470 - Phone
- (602) 650-1212
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60050270 | WA | |
| Occupational Health Nurse Practitioner | 363LX0106X | AP60050270 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP5533 | AZ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP5534 | AZ |
Addresses
Primary practice location
11361 N 99TH Ave
Suite 402
Peoria, AZ 85345-5470
Mailing address
11 S Central Ave
Apt 2218
Phoenix, AZ 85004-2524
Phone (480) 229-2298
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5534 | AZ | MD | Adult Health Nurse Practitioner |
| AP60050270 | WA | MD | Adult Health Nurse Practitioner |
| AP5533 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Innovations, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ri International
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fife, WA
- NPI 1659880078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468022400000",
"number": "1710191168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S CENTRAL AVE",
"address_2": "APT 2218",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042524",
"telephone_number": "480-229-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11361 N 99TH AVE",
"address_2": "SUITE 402",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853455470",
"telephone_number": "602-650-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURITZ",
"first_name": "PATRICK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DNP, MPH, ANP, PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2016-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60050270",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "WA",
"license": "AP60050270",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP5533",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP5534",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.