Individual provider Active NPI

Patrick M Kuritz, DNP, MPH, ANP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1710191168
Registry record updated Jul 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5533 Issued in AZ
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

Updated by the provider on Jul 9, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP5534AZMDAdult Health Nurse Practitioner
AP60050270WAMDAdult Health Nurse Practitioner
AP5533AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc PastSince Nov 29, 2017 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.

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.

Verify at the official NPI Registry.